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Annual Board of Directors Agreement Form

This form includes three parts:

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.

3. Annual Contribution Pledge — Members are encouraged to make a yearly donation to ONA.

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?

Fundraising

As a member of the Online News Association Board of Directors, I recognize that fundraising is a vital function of the organization, and my personal contributions as well as my efforts to secure contributions from individuals and corporations ensure the success of our major giving and foundation campaigns.

2023 Donation (if applicable)

Please specify the amount below you donated to fulfill your obligations, if applicable, for 2023. You can donate online at: https://journalists.org/donate-to-ona/

2023 amount:

Notes

2024 Pledge

Amount pledged for upcoming year:

In the upcoming year, I can help secure the following individual or corporate donations:

By signing this form I indicate my agreement to comply with the terms of the policy and of this disclosure statement.

Your signature:

Signature