EMPLOYMENT REQUIREMENTS AND RESTRICTIONS

Transcription

1 See the following exhibits: Exhibit A: Exhibit B: Exhibit C: Exhibit D: Exhibit E: Exhibit F: Conflict of Interest Flow Chart 1 page Conflict of Interest Question Form 1 page Training Acknowledgement Form for New Administrative Employees 1 page Semi-Annual Conflict of Interest Statement 1 page Semi-Annual Disclosure Statement 2 pages Exemption Request Form 1 page DATE ISSUED: 9/2/ of 1 -X

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3 EXHIBIT A FLOW CHART Administrative employee questions potential conflict of interest or ethical issue Administrative employee given SACOIS and SADS (Exhibits D and E) before 3/1 and 9/1 of each year Employee completes COIQF Employee completes SACOIS and SAD- Sand gives to immediate supervisor COIQF is given to employee s immediate supervisor for review Supervisor forwards forms to his or her direct report to the SOS Supervisor reviews COIQF and ERF, if applicable, and makes preliminary recommendation Direct report reviews SACOIS and SADS COIQF and ERF (if applicable) with management recommendation HR reviews forms and recommendation Problem or violation HR places forms in the appropriate file HR sends documents to the Conflict of Interest Review Committee for determination SOS is notified about violations of policy and cases of interest COI = Legend Conflict of Interest Employee and management are notified by HR regarding COIQF and/or about violations of policy COIQF = Conflict of Interest Question Form ERF = Exemption Request Form End DATE ISSUED: 9/2/ of 1 -X

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5 EXHIBIT B QUESTION FORM Please describe your question pertaining to the Houston Independent School District s Conflict of Interest Policies in the space provided below. Upon completion, please sign and date the form and submit to your immediate supervisor (if necessary, attach additional pages). Employee Signature Supervisor Signature Human Resources Signature Conflict of Interest Review Committee Supervisor to complete the following: (Please explain below) No conflict exists Conflict exists and employee accepts recommendation Conflict exists and employee opts to forward to the Conflict of Interest Review Committee Distribution List: Employee, Supervisor, Human Resources, and Conflict of Interest Committee DATE ISSUED: 9/2/ of 1 -X

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7 EXHIBIT C TRAINING ACKNOWLEDGEMENT FORM FOR NEW ADMINISTRATIVE EMPLOYEES I,, certify that I have read and understand the Houston Independent School District s policies and procedures regarding conflicts of interest. I have also read and understand Section 16 of the Special Act of 1923, governance provided at CAA, and 2(REGULATION). I understand that it is my responsibility to fully disclose any actual or potential conflict of interest in accordance with District policy, and failure to do so could result in termination of my employment. Employee Signature Human Resources Signature DATE ISSUED: 9/2/ of 1 -X

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9 EXHIBIT D SEMI-ANNUAL STATEMENT I,, do hereby affirm that I have read Board Policies CAA(LOCAL) and (LOCAL) and administrative regulations CAA2(REGULATION) and 2(REGULATION), relating to employee standards of behavior, and that I shall conform to such statements in the performance of my administrative duties while employed by the Houston Independent School District. I understand that violation of the standards of behavior could subject me to disciplinary action and possible dismissal from my employment. IT SHOULD BE NOTED that by signing this statement the administrative employee not only certifies further that he or she has been free of conflict of interest during the preceding year, but also agrees further that he or she will remain free of a conflict of interest for the ensuing year. Signature Position Please return this form and the attached Semi-Annual Disclosure statement to your immediate supervisor. [See (REGULATION)] DATE ISSUED: 9/2/ of 1 -X

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11 EXHIBIT E SEMI-ANNUAL DISCLOSURE STATEMENT NAME DATE Pursuant to Board policies and administrative regulations CAA(LOCAL), CAA2(REGULATION, (LEGAL/LOCAL), and 2(REGULATION), HISD has established certain restrictions regarding conflicts of interest. Consequently, the Semi-Annual Disclosure Statement must be completed for the following employee groups: E-Rate Employees (regardless of salary grade or location) must avoid the appearance of a conflict of interest and are strictly prohibited from accepting gifts, meals, entertainment, or anything of value from any outside entity, consultant, or other representative that provides or seeks to provide goods or services pursuant to the E-Rate Program. Furthermore, all offers from such entities or individuals shall be reported, even when such items were not accepted. Administrative Employees (in salary grade 25/T5 or above in any area of the District) are required to report gifts, meals, entertainment, or anything of value if the value exceeds $50 per meal/item or $100 in the aggregate per year from any District vendor or perspective vendor. Meals/item(s) exceeding $100 in the aggregate from any single source are strictly prohibited. The following is a listing of all such meals/items covering the period through. If there are no reportable meals/items, write NONE. 1. of Item Company and Individual Offering Item Estimated Value of Meal/Item Status of Item: (check one) Offered & Accepted Offered & Declined Reason for Meal/Item DATE ISSUED: 9/2/ of 2 -X

12 INSTRUCTIONS: 1. Each E-Rate or administrative employee must return completed signed forms to his or her immediate supervisor. 2. The supervisor will send the forms to the appropriate direct report to the Superintendent. 3. The direct report will forward the completed reports to Human Resources. Please include attachments if additional space is needed. I have read and understand Board policies CAA(LOCAL) and (LOCAL/LEGAL), and administrative regulations CAA2(REGULATION) and 2(REGULATION). I certify that, to the best of my knowledge, I have not violated these policies. EMPLOYEE SIGNATURE DATE SUPERVISOR SIGNATURE DATE HUMAN RESOURCES SIGNATURE DATE DATE ISSUED: 9/2/ of 2 -X

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14 EXHIBIT F EXEMPTION REQUEST FORM Name of Partner Organization: Dollar value of proposed gift: Details of proposed gift: Brief Explanation of benefit to HISD: Employee Signature Superintendent Signature NOTE: Exceptions involving E-Rate vendors are prohibited. Directions to Submitting Employee: In consultation with your immediate supervisor, submit this completed form to the office of the Superintendent for signature. Upon return, retain a copy for submission to Human Resources at the same time the Semi-Annual Conflict of Interest Statement and the Conflict of Interest Question Forms are submitted each year. DATE ISSUED: 9/2/ of 1 -X