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Biology Department Affiliate Request Form

To begin affiliate setup, please provide the following information regarding the individual for whom you are requesting affiliate status.

Requester Name(Required)
Affiliate Name(Required)
Start Date(Required)
End Date(Required)
(Max One Year) You will be contacted one month before the status expires regarding renewal processes.
Is the affiliate a minor?(Required)
Affiliate Type(Required)
(e.g., job description, details of project(s) to be worked on, how anything related to this is funded)
Will this affiliate be receiving any type of funding from Boise State? If so what type?(Required)
Additional Affiliate Services(Required)
Please select all that apply:

HR Background Information

Will this Affiliate/Visitor supervise, or interact regularly, with vulnerable individuals or minors under 16?(Required)
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)
Will this Affiliate/Visitor possess a building master key(s), access to laboratory facilities, access to regulated facilities, or access to dorms?(Required)
Will this Affiliate/Visitor operate University-owned, -leased, or -controlled vehicles?(Required)
Will this Affiliate/Visitor have direct access to, or responsibility for, controlled substances or hazardous materials?(Required)
Will this Affiliate/Visitor have any special access to data or electronic resources being provided?(Required)
Use this field to provide any additional information to consider or take note of while processing this affiliate submission.