Orange County NC Website
lb <br /> SECTION 5: DISCLOSURE OF POTENTIAL CONFLICTS OF INTEREST <br /> Are any of the Board Members or employees of the agency carrying out this project, or members of <br /> their immediate families, or their business associates who are: <br /> • Employees of/or closely related to employees of the Towns of Carrboro, Chapel Hill, <br /> Hillsborough, or Orange County? <br /> ❑ Yes ❑ No <br /> • Members of/or closely related to members of the governing bodies of the Towns of <br /> Carrboro, Chapel Hill, Hillsborough, or Orange County? <br /> ❑ Yes ❑ No <br /> • Potential beneficiaries of the project/program for which funds are requested? <br /> ❑ Yes ❑ No <br /> • Paid providers of goods or services to the program or having other financial interest in <br /> the program? <br /> ❑ Yes ❑ No <br /> If you answered "yes"to any of the preceding questions, please explain below.The existence of a <br /> potential conflict of interest does not necessarily make the project ineligible for funding, but the <br /> existence of an undisclosed conflict may result in the termination of any grant awarded. <br />