Difference: AffiliateEndorsement060718121409 (13 vs. 14)

Revision 1405 Jan 2010 - Main.DavidCowburn

 
META TOPICPARENT name="AffiliationEndorsement"
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AFFILIATION ENDORSEMENT AT NYSBC

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AFFILIATION ENDORSEMENT AT NYSBC EXPIRED

 You may wish to print this page for your records.

Endorsement must be made by members of the Scientific Committee at NYSBC or by staff supervisors 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?,

NYSBC OFFICE USE ONLY -- ENDORSER DONT CHANGE THIS ENTRY
ID NUMBER IN DATABASE , > 10000 indicates ID CARD # and infotech status 11953
ALL HOURS STATUS STEPS -

META FORM name="AffiliationRequestForm"
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FORM FIELD New Affiliate? NewAffiliate? Yimin Xu?
FORM FIELD Affiliate Status? AffiliateStatus? Graduate Student
FORM FIELD Expiration Date? ExpirationDate? 1 Jan 2010
FORM FIELD Phone Number? PhoneNumber? 212 854 8386
FORM FIELD Affiliate Email? AffiliateEmail? mailto:yx2101@columbia.edu
FORM FIELD Affiliate PI? AffiliatePI? Ann McDermott?
FORM FIELD Requested Access? RequestedAccess? Basic NMR:
FORM FIELD Affiliation Web Page? optional AffiliationWebPageoptional?
FORM FIELD Affiliation Comment? optional AffiliationCommentoptional?
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FORM FIELD New Affiliate NewAffiliate? Yimin Xu?
FORM FIELD Affiliate Status AffiliateStatus? Graduate Student
FORM FIELD Expiration Date ExpirationDate? 1 Jan 2010
FORM FIELD Phone Number PhoneNumber? 212 854 8386
FORM FIELD Affiliate Email AffiliateEmail? mailto:yx2101@columbia.edu
FORM FIELD Affiliate PI AffiliatePI? Ann McDermott?
FORM FIELD Requested Access RequestedAccess? Basic NMR:
FORM FIELD Affiliation Web Page AffiliationWebPage?
FORM FIELD Affiliation Comment AffiliationComment?
 
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