Watch Test
Quick Links
Directory
MyBCOM
Library
Employee Links
IT Help Desk
About
About Us
– Mission, Vision & Guiding Principles
– Code of Professional Conduct
– Leadership
Board of Trustees
Institutional Leadership
– Message from the President
– Accreditation
– Institutional Snapshot
– Governance
Board of Trustees Bylaws
College Bylaws
Strategic Initiatives
Institutional Policies
Standard Operating Procedures
– Directory
Prospective Students
Prospective Students
– How to Apply
– Admission Requirements
– Pre-Matriculation
– Catalog
– Professional Licensure Disclosure
– Financing Your Medical Education
Office of Financial Aid
Office of Student Accounts (Bursar)
– Veteran Programs
– NMSU’s Osteopathic Medical Pathway Program
– Institutional Data and Outcome
– About Las Cruces & El Paso
– Title IX
– Housing
Academic Program
Academic Program
– Academic Calendar
– Curriculum Committee
– Pre-Clinical Education (Year 1 & Year 2)
Anatomy Lab
Physical Diagnosis Lab
Simulation Center
Board Preparation
Apply to be a Standardized Patient
Apply to be a Exam Proctor
– Clinical Education (Year 3 & Year 4)
HUB Sites
Become a Preceptor
Graduate Medical Education
– Library
Current Students
Office of Student Affairs
– Student Handbook & Catalog
– Code of Professional Conduct
– Financing Your Medical Education
Office of Financial Aid
Office of Student Accounts (Bursar)
– Student Forms
– Campus Safety and Security
– Organizations and Outreach
Service Learning
Student Government
Student Organizations
Veteran Programs
TOUCH Program
Research
Research
Faculty Affairs
Faculty Affairs
– Academic Departments
Anatomy & Cell Biology
Biomedical Sciences
Clinical Medicine
Physiology & Pathology
– Faculty Handbook
– Faculty Council Bylaws
– Faculty Development
– Faculty Committee Service
– Faculty Promotions
– Peer Review of Teaching
– Library
Administrative Services
Administrative Services
– Human Resources
Employee Handbook
Employment Opportunities
Become a Preceptor
Human Resource Forms
Institutional Policies
Greenshades
Employee Assistance Program
Drug and Alcohol Free Campus
– Finance
Finance Forms
– Student Accounts (Bursar)
– Facilities & IT
– Campus Safety and Security
– Title IX
– Employee Assistance Program
– Data Request Form
Preceptors
Preceptor
– Academic Program
– Become a Preceptor
– Preceptor Manual
– Preceptor Tools
– GME
Institutional Advancement
Institutional Advancement
– News
– Branding
– SWFOER Giving
– Alumni
Conflict of Interest – Staff
Home
Conflict of Interest – Staff
Conflict of Interest – Staff
Sam Turner
2021-01-11T15:44:14-07:00
Name:
*
First
Last
I am not aware of any existing or potential conflicts of interest that might impair or reasonably appear to impair my independent, unbiased judgment in the discharge of my responsibilities to Burrell College.
Signature
Date
Date Format: MM slash DD slash YYYY
If you are aware of an existing/potential conflict of interest, please fill out the appropriate section below.
I disclose to Burrell College that the following existing or potential conflicts of interest might impair or reasonably appear to impair my independent, unbiased judgment in the discharge of my responsibilities to Burrell College.
Signature
Date
Date Format: MM slash DD slash YYYY
I disclose to Burrell College that a member of my family, or an organization in which I or a member of my family is an officer, director, employee, member, partner, trustee, or controlling stockholder has the following existing or potential interest that might impair or reasonably appear to impair my independent, unbiased judgment in the discharge of my responsibilities to Burrell College.
Signature
Date
Date Format: MM slash DD slash YYYY
Administrative Services
Human Resources
Employee Handbook
Employee Opportunities
Become a Preceptor
Human Resource Forms
Institutional Policies
Greenshades
Employee Assistance Program
Drug and Alcohol Free Campus
Finance
Finance Forms
Student Accounts (Bursar)
Facilities & IT
Campus Safety and Security
Title IX
Employee Assistance Program
Data Request Form
X
X