disclosures: 01e151dac9e90a2fa23fef6d69eabf2499544a1c9018d845bd45a56dd434b906
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01e151dac9e90a2fa23fef6d69eabf2499544a1c9018d845bd45a56dd434b906 | 2014/OkemanGail2.pdf | 2014 | 0001/0001 -0/08/2014 12: 42PM FAX RECEIVED STATE ETHICS COMMISSION FITCHBURG STATE UNIVERSITY 2014 OCT 23 AM 10: 29 MEMORANDUM Date: 10/9/14 To: Robert V. Antonucci, President From: GuilDienman Department: Center Jor Proj Stadies Re: Disclosure of Decision to Adopt Instructional Materials in Whose Sale I Have a Financial Interest In compliance with the Massachusetts G.L.c.268A. $6, Ldisclose my intent to adopt the following: Semester: Fall Year: 2014 Day LOCGE X ) Non-Credit check all that apply Title: Course Meeting Number/Name The Diverse Students Full Description of materials (c.g., published text, course-pack, CD, etc.) (use reverse side of form if necessary) Publisleskyt: Developing Minds- If this is a published work sold to students through a 3rd party such as и bookstore: Check all that apply ( I am the author () I am the editor ) Other (indicate) I'am the co-author () I am the co-editor From sales of this title to Fitchburg State University students I anticipate that I will receive royalties in the amount of $ r 5% NOTE: Please be aware that faculty are prohibited from selling materials directly to students. In the event you determine that my financial interest is sufficiently substantial to warrant assigning to someone elsc the decision whether the instructional materials described above should be adopted for use in the course identified above, I agree to the Department Chair/Graduate Program Coordinator or designee to make that decision in Sior Signature of Faculty Member 10/9/14 Date Determination of Fitchburg State University Appointing Authority ( I have reviewed this matter and determine that the faculty member's financial interest as disclosed above is not sufficiently substantial to warrant my assigning to someone clse the decision whether the instructional materials described above should be adopted for use in the course identified above. ( ) I have reviewed this matter and determine that the faculty member's financial interest is sufficiently substantial to warrant my assigning the decision in question to someone clse. Therefore, in accordance with M.G.L.c.268A, §6. 1 assign that decision to the appropriate administrative office. 10/16/2014 Robert V. Antonucci, President Date | 2014/OkemanGail2.pdf |