Additional questions — Continued

26. Explain how you will resolve any potential conflicts of interest that may arise in the

future if you are confirmed for the position for which you have been nominated

I will execute the appropriate recusals. Should any such

conflict arise, I will consult with the Department of Energy.s

ethics official and follow his or her advice to insure that

there is no conflict or appearance of conflict.

27. Except as noted in question No. 20, do you have any objections to this form and the

attachments thereto being made public?

NO

I"

DERRICK L. FORRISTER

EMPLOYMENT RECORD:

Special Assistant to the Secretary for Policy, U.S. Department of Energy,
May 1993 to Present

o Advise and assist the Secretary on energy and environmental issues,

with particular responsibility on global climate change, o Coordinate international trade missions to India, Pakistan, China and

Hong Kong, o Serve as Secretary.s liaison to the President.s Council on

Sustainable Development.

Legislative Assistant, former Congressman Jim Cooper (D-TN), July 1987 to April 1993

o Responsible for energy, environment, telecommunications and other issues

for Member of House Energy and Commerce Committee, o Researched issues and drafted legislation; created and implemented

legislative strategies; conducted staff negotiations on policy conflicts;

and represented Member in speeches and forums.

Staff Attorney, Community Legal Services of Philadelphia, Sept. 1985 to July 1987

o Represented indigent clients on consumer, housing and family law problems.

o Appeared in federal and state courts.

o Prepared pleading, briefs and petitions in variety of cases.

Temporary Clerk, Bread for the World, Inc., June 1985 to August 1985

o Assisted managing director in administrative duties while preparing for
bar examination.

Teaching Assistant, Professor Marc Feldman, Rutgers University School of Law,
Camden, NJ, Sept. 1984 to April 1985

o Assisted torts professor by instructing first year law students in legal research and writing and by leading study groups.

Lobbyist, Bread for the World, Inc., Washington, DC, June 1984 to August 1984

o Advocated to congressional staff public policy responses to world hunger issues. Research Assistant, Carnegie Council on Ethics and Foreign Policy , (then named Council on Religion and International Affairs) New York, June 1983 to August 1983

o Performed historical and legal research project for The Uneasy Alliance
(by Bruce Nichols, Oxford U. Press, 1988), a book on church-state
conflicts in U.S. foreign policy.

Youth Minister (part-time), Liberty Hill Church of Christ, Commack, New York,
February 1982 to July 1982

o Supervised outings, activities and religious studies of junior high and
high school church members.

Organizer, Bread for the World, Inc., New York, New York, February 1982 to
July 1982

o Coordinated grassroots political action networks in 13 southwestern states.

Temporary Clerk, Republican National Committee, Washington, DC, January 1982 to February 1982

o Provided administrative duties to prepare for membership meetings.

Research Assistant, M. Lee Smith Publishers and Printers, Nashville, TN, October 1981 to December 1981

o Provided administrative and editing services on various publications.

Counselor, Liberty House, Trenton, NJ, September 1980 to September 1981

o Provided after school tutoring, field trips, arts/crafts and religious studies for under-privileged children.

Boy's Chief Counselor, Camp Shiloh, Inc., Woodridge, NY, June 1980 to August 1980

o Supervised five boy.s counselors at summer camp.

Tourguide, Grand Ole Opry Tours, Nashville, TN, May 1980 to June 1980

o Conducted bus tours of homes of country music stars.

Mr. Stephen D. Potts

Director, Office of Government Ethics 1201 New York Avenue, N.W., Suite 500 Washington, D.C. 20005-3917

Dear Mr. Potts:

This letter transmits to you, in accordance with 5 C.F.R.
2634.605(c)(2), a copy of the Standard Form 278, "Executive
Branch Public Financial Disclosure Report," filed by Derrick L.
Forrister incident to his nomination to the position of Assistant
Secretary for Congressional and Intergovernmental Affairs, United
States Department of Energy.

I have also enclosed a copy of the statement provided to
Mr. Forrister, advising him of statutory and other restrictions
applicable to his service as Assistant Secretary for
Congressional and Intergovernmental Affairs. This advice is
based upon a review of the interests disclosed in his Standard
Form 278. My signature on the form certifies that there is no
unresolved conflict of interest under applicable laws and
regulations with respect to Mr. Forrister.s nomination to the
position of Assistant Secretary for Congressional and
Intergovernmental Affairs.