Sample Disclosure Statements

TO JOURNALS

(Name) (has financial and/or business interests in) (is a consultant to) (receives funding from) a company that may be affected by the research reported in the enclosed paper. S/He has disclosed those interests fully to the University of Mississippi, and has in place an approved plan for managing any potential conflicts arising from (that involvement).

OR

This research is sponsored by (company A) and may lead to the development of products which may be licensed to (company B), in which (professor name) has a business and/or financial interest. S/He has disclosed those interests fully to the University of Mississippi, and has in place an approved plan for managing any potential conflicts arising from this arrangement.

TO STUDENTS

For your information, I serve as (a consultant to) (a board member of) (an executive officer of) COMPANYNAME. I also receive research grant funding from (company name) investigating (briefly describe the research area). This relationship has been identified as having the potential to create a conflict of interest with my responsibilities as a faculty member. I have fully disclosed these interests to the University of Mississippi, and I have in place an approved plan for managing any potential conflicts arising from this involvement.

I understand that your work on the project, (insert project name), should be for academic reasons to further your studies and your professional career endeavors. If at any time you have any concerns about whether your work is inappropriately focused toward my outside relationship(s), or that your ability to publish has been impeded in any way, I encourage you to contact the Department Chair or (alternative advocate for the student) (include names and phone numbers, if not evident).

I look forward to continuing to serve as your advisor and you can continue to count on my utmost support of your work.