For your convenience, two State ethics forms, the Supervisor Conflicts of Interest Certification and Personal and Business Relationships Disclosure, have been combined into one form. These ethics forms must be completed or updated annually. Please answer the four questions (total) below and submit to the Ethics Office. Thank you.
N.J. STATE ETHICS COMMISSION
This certification is made in accordance with New Jersey State Ethics Commission regulations, N.J.A.C. 19:61-5.7, and the Uniform Ethics Code, which prohibit an NJIT officer or employee, or Special State officer, from supervising or exercising authority with regard to personnel actions over a relative*, cohabitant or someone an NJIT employee or officer is dating.
By my signature below, I certify that I have undertaken a review of the employees directly under my supervision/chain of command and have made the following determination:
Please complete the following questions for the period covering five years prior to the date of this statement.
I understand that I may be subject to discipline and/or prosecution if I have omitted or falsified information.