Background:

1. Conflict of Interest/ Conflict of Commitment for Faculty
   
   Pursuant to University regulations, Professor will report annually his/her activities with in a Conflict of Interest/Conflict of Time Commitment Disclosure Statement (attached). In addition, the department head, dean and the Provost will annually review Professor activities.
   
   Include text on the Professor's expected time commitment, and how conflicts of interest and commitment will be avoided. In general, faculty should not be conducting day-to-day management of company activities. If it is necessary for faculty to do this for a limited period of time, explain how the conflict of commitment will be handled - faculty leave, rigid time management, etc. Include information about the faculty member or company; who founded the company and when; the location and the nature of its business. Include a discussion about the intellectual property on which the company is based. If this is extensive, use an attachment. Inventions to be used by the faculty member and/or company are to be properly disclosed and may be licensed to the faculty member(s) or company by the University if it is determined that the University owns the intellectual property.
   
   
2. Involvement of Other University Personnel
   
   Option 1
   At this time, there are no plans to involve other University personnel (students, postdoctoral employees, faculty, or staff) in this project. However, in order to avoid any potential conflict concerning these situations, the following process will be used:

    

   Option 2
   University students and/or staff will be employed. The professor will inform the impacted student(s) or staff in writing about his/her relationship to the Company. The students or staff members will be insured that involvement with the Company will not in any way adversely affect their academic progress or employment status.

3. Other University Research

   Describe how the professor's research program at the university relates to the activities of the company. Are they totally separate? How closely are they related?

4. Publication
   
   Explain any agreement that may limit the right to publications.

5. University Resources and Intellectual Property

   The Company will not use University facilities or equipment.
   
   OR, if it will, specify that a leasing, technical testing or facilities use agreement will be executed. Specify that all costs will be reimbursed to the University. Further, if the Company wishes to use University owned intellectual property, the company will negotiate a license agreement with the University.

6. Review Cycle
   
   The department head and the Professor will meet on an annual basis to review progress and ensure compliance with this Conflict of Interest/Commitment Management Plan. An annual status report will be drafted and included in the annual disclose form.
   
   
   
7. Attachments
   
   
   • List of inventions or other creations disclosed to the University
   • Lease, Technical Testing, or Facilities Use Agreement
   • Disclosure Form Statement
   • List of University students or employees working with the Company. Include their title, student or employment status, number of consulting days incurred in the prior year and estimated number of consulting days in the upcoming year.

Acknowledgement of Agreement:

Professor Signature: Date:

Department Head Signature: Date:

Dean Signature: Date:

Provost Signature: Date: