Professional Conduct Disclosure Form for Elected Positions

Starting in 2019, the below documentation is required in order to be placed on the ballot for an elected position within the Entomological Society of America (ESA). 

Please complete this form no later than:

  • January 8, 2020 (North Central and Southwestern Branch candidates)
  • January 22, 2020 (Eastern and Southeastern Branch candidates)

If you have questions regarding the Professional Conduct Disclosure, you may contact ESA's Executive Director, David Gammel.


CERTIFICATION 

The undersigned hereby affirms that he/she has read, understands, and agrees to comply with the ESA Code of Conduct and Ethics, and other policies and procedures established by ESA, 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 ESA promptly of any material changes required in my responses to the above question. I acknowledge that failure to comply with ESA’s policies may result in my ineligibility to receive, or revocation of, any ESA award, honor, other type of ESA recognition, or governance position, and is grounds for potential sanctions against me.

Disclaimer
Nominee's failure to complete the Professional Conduct Disclosure by the specified deadline will result in their names being withheld from the election ballot.