GGMC Leadership Conflict of Interest Reporting

The Global Genomic Medicine Collaborative collaborates with leadership, staff, and external organizations to ensure quality review, management, and reporting of conflicts of interest related to activities within GGMC, including financial conflicts of interest related to sponsored research within GGMC programs.

For questions about COI management, please contact COI@g2mc.org.

Personal Information

 

Assessments

What do I need to report on this form?

GGMC requires disclosure of any outside interests, activities, or relationships that relate or are similar to your GGMC work, area, or scholarship. Paid and unpaid activities (including any affiliations and employment) should be disclosed.

Disclosure is NOT REQUIRED for the following activities/financial interests:Ownership of a share in a mutual fund

  • Salary or other remuneration from an accredited U.S. institution of higher Education
  • Salary or other remuneration from the U.S. Department of Veterans Affairs or another federal, state, or U.S. local government entity, or other global government entity
  • Book Royalties
  • Ownership of a share in a mutual fund

Outside Interests

Special Instructions

Outside professional interests/activities are non-GGMC activities within a faculty member or employee’s area of professional and/or academic expertise, whether paid or unpaid, and whether the company/organization/entity is for profit, not-for-profit, or non-profit.

You/Your = refers to you or any immediate family member (as applicable).

Current refers to the following time period = did have in calendar year <current year> or anticipate having in calendar year <next year>. Please disclose your current outside professional interests/activities below:

 

Please disclose your #2 outside professional interests/activities below:

 

Please disclose your #3 outside professional interests/activities below:

 

Please disclose your #4 outside professional interests/activities below:

 

Please disclose your #5 outside professional interests/activities below:

 

Other Matters

 

Affirmation