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Annual Board of Directors Agreement Form

There are two sections in this form:

1. Board Agreement — Required of all members at the start of their two-year term. (Members in the middle of their terms will not see this part.)

2. Conflict of Interest Agreement — An annual requirement for each Board member.

Your first name

Your last name

Your email address

Are you a serving a new term as a member of the ONA Board of Directors, effective Jan. 1, 2024 and ending Dec. 31, 2025?

Are you a serving a new term as a member of the ONA Board of Directors, effective Jan. 1, 2024 and ending Dec. 31, 2025?
A
B

Conflict of Interest

I hereby acknowledge that I have received a copy of the Conflict of Interest and Code of Ethics policies of the Online News Association (the “policies”) and that I have read and understood its terms. To the best of my knowledge, except as disclosed below, I do not have a conflict of interest, as defined in the policy, requiring disclosure under the policy.

Exception?

Exception?
A
B

If you need to disclose an exception at this time, you can write it here:

If any situation should arise in the future which I believe may or actually does pose a conflict of interest, I will promptly disclose the conflict in writing to the Executive Committee of the Board of Directors.
By signing this form I indicate my agreement to comply with the terms of the policy and of this disclosure statement.

Do you understand the above statement?

Do you understand the above statement?

Your signature:

Signature