• Employee Nepotism Form

• 
  
• Date
• 
  
• Employee Relationship

  	Prospective Employee	Current Employee
  Name
  Department
  Position/Title
  Supervisor Name
  Relationship

• 
  
• Will the employees work in the same office?*

  Yes No
• Will the employees work in the same department?*

  Yes No
• Will the employees work in a supervisor/subordinate position?*

  Yes No
• Will the employees engage in any work situation that can be perceived as a conflict of interest?*

  Yes No
• Is there any relationship between the prospective supervisor and the current employee that might be perceived as a conflict of interest?*

  Yes No
• Please give a detailed description of the prospective employee's job duties.*
• 
  

• ---

• 
  

• To be completed by Human Resources

• Work Situation Status*

  Approved Denied
• Signature