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External Professional Activities Request Form

Upon review of an External Professional Activities Request Form, the reviewer(s) will determine if the requested activity is compliant with USA policies and procedures, and then communicate their determination to the requestor. If the activity is determined to be compliant with USA policies and procedures and the requestor proceeds with the activity, they may also need to update their annual COI Disclosure. An approval may be granted with conditions that will need to be acknowledged and agreed to by the requestor. See section 5.6.1 in the Conflict of Interest and Conflict of Commitment policy for more details about the request form and review process.

Submitting an External Professional Activities Request Form

  1. Go to  and log-in just as you would for submitting your annual Disclosure
  2. Sign in with your JAG number and JagNet Password.
  3. On your Home page in the section labeled, "Request forms available to submit," click the blue "Fill Out" button alongside the "EPA Request Form" label, to begin.  Upon completion, submit the form. It will be routed to  your supervisor for their review. The Dean will also review, and either approve or deny the request. 

 

Disclosure Guide: External Activities & Interests