HWA Staff Conflict of Interest - Hockey Western Australia

Full Name*

Position*

Are you a member of a Hockey WA club?*

Do you hold a position at a Hockey WA club other than a playing or social member?*

Do you do any coaching?*

Do you earn any income outside of HWA?*

Do you hold any board positions?*

If you are aware of anything that may be perceived as a potential conflict of interest, please outline the situation.