ASHA Disclosure Form Department of Communication Sciences and Disorders - Temple University INSTRUCTIONAL PERSONNEL AND CO-SPONSORING ORGANIZATIONS DISCLOSURE OF RELEVANT FINANCIAL AND NON-FINANCIAL RELATIONSHIPS In compliance with American Speech-Language Hearing Association’s Continuing Education Board’s Requirements, the Department of Communication Sciences of Temple University requires program planners and instructional personnel to disclose information regarding any relevant financial and non-financial relationships related to course content prior to and during course planning. Based on the information provided, the CE coordinator or his/her designee will engage the program planner/instructional personnel in a guided interview process which seeks to understand how the relevant financial or nonfinancial relationship may influence the content of the course.Program Planner or Instructional Personnel’s Name: (All Authors) First Name * Last Name * Email (Primary) * Submit Cancel
