Home » Forms » Conflict of Interest Statement Conflict of Interest Statement Before submitting this form, review the Conflict of Interest Policy. Conflicts of Interest*Are you aware of any relationship, interest, or situation involving your family or yourself which might result in, or give the appearance of being, a conflict of interest between such family member or yourself on one hand and the DC Road Runners Club on the other? No Yes For-profit corporate directorships, positions, and employment with:Nonprofit trusteeships of positions:Memberships in the following organizations:Contracts, business activities, and investments with or in the following organizations:Other relationships and activities:Name* First Last Primary Business or Occupation* Signature*