Difference: AffiliateEndorsement060524141057 ( vs. 1)

Revision 115 Jan 2007 - Main.DavidCowburn

 
META TOPICPARENT name="Main.MarkGirvin"

AFFILIATION ENDORSMENT AT NYSBC

Your notes

Extended to: 12/31/06 renewal of affiliate status for Doug Kamen

ENDORSER -- Your name will automatically appear as the creator of the new endorsment. You will shortly receive an email copy of the confirmation of the affiliation. If you have not received it in two working days, please email dcadmin@nysbc.org noting the affiliate's name. You may wish to print this page for your records.

Endorsment must be made by members of the Scientific Committee at NYSBC. Misrepresentation of the endorser will be regarded extremely seriously.

Your endorsment includes your understanding that ...

The endorser will immediately inform NYSBC when the affiliate nominee is no longer associated with them. The endorser understands that the affiliate’s use of equipment and activities are subject to NYSBC’s General Operating Handbook including “E.4 Disputes as to damages, accidents, and incidents will be handled by the Safety committee as outlined in other regulations.” The endorser will inform the affiliate of this. The affiliate nominee is 18 years of age or older; is a full-time employee or full-time student at this institution; is not subject to any restriction of eligibility for any contracting or subcontracting with any agency of the United States Government or New York State, and from eligibility or involvement in non procurement programs of the United States Government referred to as 'covered transactions' as defined in HHS' implementation of OMB Guidelines to Agencies on Government-wide Debarment; and has filed the institutional Conflict of Interest form for any Federally supported activity. The project(s) involved are predominantly scientific research in the public interest within the meaning of section 501(c)(3), and less than 5% of the activity will be “unrelated business" or commercial research . The project conforms to all institutional and NYSBC regulations. These affiliation conditions may change, and the current version is available at AffiliationConditions.

Template is AffiliateTemplate, created by DavidCowburn Jan 2006

NYSBC OFFICE USE ONLY ENDORSER DONT CHANGE THISup
TWIKI NAME SET UP
EMAILED COPY OF DATABASE INFO ETC TO ENDORSER, APPROPRIATE MANAGERS, INFOTECH ON
ALL HOURS STATUS STEPS
ID NUMBER IN DATABASE , > ID #: 10000 indicates ID CARD # and infotech status 11791

META FORM name="AffiliationRequestForm"
FORM FIELD NewAffiliate NewAffiliate Main.DouglasKamen
FORM FIELD AffiliateStatus AffiliateStatus Postdoctoral Associate
FORM FIELD ExpirationDate ExpirationDate 12/31/2006
FORM FIELD PhoneNumber PhoneNumber 718 430 2021
FORM FIELD AffiliateEmail AffiliateEmail dkamen@medusa.bioc.aecom.yu.edu
FORM FIELD AffiliatePI AffiliatePI Main.MarkGirvin
FORM FIELD RequestedAccess RequestedAccess Basic NMR:, Cryoprobe operations - NMR:
META TOPICMOVED by="DavidCowburn" date="1168880539" from="Main.AffiliateEndorsement060524141057" to="Staffarchive.AffiliateEndorsement060524141057"
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