USITT PROFESSIONAL CONDUCT DISCLOSURE FORM
CERTIFICATION
The undersigned hereby affirms that he/she has read, understands, and agrees to comply with the USITT Ethics Policy, including its Code of Conduct, and other policies and procedures established by USITT, as amended from time to time. By signing this document, I certify that, to the best of my knowledge, the above response and all information provided by me related to this Professional Conduct Disclosure Form are truthful, accurate, and complete, and I agree to notify USITT promptly of any material changes required in my responses to the above question. I acknowledge that failure to comply with USTT’s Ethics Policy, including its Code of Conduct, may result in my ineligibility to receive, or revocation of, any USITT award, honor, other type of USITT recognition, or governance position, and is grounds for potential sanctions against me.