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Department of Geoscience
Administrative Resources
Common Forms
Affiliate Status Request Form
Affiliate Status Request Form
Affiliate Status Request
Name of Requestor
(Required)
First
Last
Requester Email
(Required)
Affiliate/Visitor Name
(Required)
Please note it can take 2-3 weeks for affiliate status to be set up and approved.
First
Last
Request Type
(Required)
New
Renewal
Early Termination of Services
Affiliate Email
(Required)
Affiliate Phone Number
(Required)
IF the affiliate or visitor has a previous relationship with BSU as a student, employee, or previous affiliate or visitor, please enter Boise State ID (if known)
Start Date
(Required)
MM
DD
YYYY
End Date
(Required)
MM
DD
YYYY
Status Requested
(Required)
Affiliate/Vendor
Affiliate Faculty
Visitor
Affiliate/Visitor Roles and Responsibilities
(Required)
(Be specific, attach additional sheet if needed)
Roles and Responsibilities file if needed
Max. file size: 10 MB.
Will the Affiliate/Visitor need any of the following?
(Required)
Ctrl + click to add multiple
Boise State ID Card
After Hours Key card access
Physical Office Key
Recreation Membership (Membership Fee will apply)
Drives for Computer
Other
What specific drives need to be added to computer?
What office space will the affiliate occupy?
Other explanation
Please include funding string for any charges for the above
(Funding string for ID card required otherwise local account will be charged)
As the submitter, it is your responsibility to inform the affiliate to watch for an email from Sterling Infosystems to approve a background check.
(Required)
Yes, I will notify the affiliate