RRC Affiliate Request

Requestor's Department(Required)

Enter your primary home department. NOTE: If your home department is not the Raptor Research Center and/or Department of Biological Sciences at Boise State University, you are likely trying to use the wrong department’s form for your affiliate request.

Affiliate Phone(Required)

Affiliate ID #(Required)

Affiliate/Visitor Role and Responsibilities:(Required)

Be specific about the scope of work (job description and details of projects to be worked on)

Sources of funding directly or indirectly related to the affiliate’s work and whether or not they include non-U.S. funding, support, obligations, etc.:(Required)

Include if the affiliate will receive participant support stipends, compensation for services to Boise State, reimbursements for approved expenses associated with Boise State collaboration or projects, and/or non-U.S. funding.

Is any special access to data or electronic resources being provided? If so, what and why?(Required)

What, if any, buildings on campus would the affiliate receive access to? Any special times for access (outside of normal business hours)?(Required)

Funding Source for Boise State ID Card if Department Pays:

(Fund-Department-Cost Center-if applicable, Project) FFFF.DDDDD.CCCCCCC.PPPPPPPPPP

HR Background Information Required for Affiliate Requests

Additional Comments:

Use this field to provide any additional information to consider or take note of while processing this affiliate submission.

Requestor Information

Affiliate Details

HR Background Information Required for Affiliate Requests

Section Break

Raptor Research Center