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Biology - The College of Arts and Sciences
Department Forms
Affiliate Request Form
Affiliate Request Form
To begin affiliate setup, please provide the following information regarding the individual for whom you are requesting affiliate status.
Boise State Policy 7035 defines affiliates as:
"Individuals associated with the campus as board or advisory committee members, VIPs, contractors, volunteers, legislators, employees of agencies under the auspices of the State Board of Education, and who are not University employees or students." These individuals are not allowed to receive compensation in association with their affiliate status with the university.
Requester Name
*
Required
First
Last
Requester Email
*
Required
Affiliate Name
*
Required
First
Last
Affiliate Email
*
Required
Start Date
- must be mm/dd/yyyy format
*
Required
Date Format: MM slash DD slash YYYY
End Date
- must be mm/dd/yyyy format
*
Required
Date Format: MM slash DD slash YYYY
(Max One Year) You will be contacted one month before the status expires regarding renewal processes.
Affiliate Type
*
Required
Affiliate Faculty: Non-BSU Employee serving on graduate committees
Affiliate Visitor: Collaborating or volunteering w/ a university department
Will this affiliate be receiving any type of funding from Boise State?
*
Required
Compensation for Services to Boise State University
Stipend for Traineeship or other types of participation in university sponsored programs
Reimbursement for approved expenses associated to their collaboration w/ Boise State
None of the above
Roles and Responsibilities
*
Required
Additional Affiliate Services
*
Required
Please select all that apply:
Boise State ID Card
Computer/Email Accounts
Recreation Center Access
Facility Access
Library Services
Temporary Campus Housing
Boise State ID Cards cost $25. Will this be paid by the affiliate or with a university funding source?
*
Required
Paid at the Info Desk (by Affiliate)
University Funding Source
Affiliate already has a Boise State ID Card (used within the last two years)
Funding Source
*
Required
Please provide a Boise State funding source: xxxx.xxxxx.xxxxxxx (and project number, if applicable)
HR Background Information
Will this Affiliate/Visitor supervise, or interact regularly, with vulnerable individuals or minors under 16?
*
Required
Yes
No
Will this Affiliate/Visitor have direct access to, or control of, cash, checks, credit card account information, or personally-identifiable information which might enable identity theft?
*
Required
Yes
No
Will this Affiliate/Visitor possess a building master key(s), access to laboratory facilities, access to regulated facilities, or access to dorms?
*
Required
Yes
No
Will this Affiliate/Visitor operate University-owned, -leased, or -controlled vehicles?
*
Required
Yes
No
Will this Affiliate/Visitor have direct access to, or responsibility for, controlled substances or hazardous materials?
*
Required
Yes
No
Additional Comments
Use this field to provide any additional information to consider or take note of while processing this affiliate submission.