Difference: AffiliateEndorsement060719134253 (1 vs. 3)

Revision 318 Dec 2006 - Main.DavidCowburn

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META TOPICPARENT name="AffiliationEndorsement"
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META TOPICPARENT name="Main.AffiliationEndorsement"
 

AFFILIATION ENDORSEMENT AT NYSBC

Your notes

Please change this text to indicate any additional information not reflected on the form below

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.

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.
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Changed:
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Template is AffiliateTemplate?, created by DavidCowburn? Jan 2006
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Template is AffiliateTemplate, created by DavidCowburn Jan 2006
 

NYSBC OFFICE USE ONLY -- ENDORSER DONT CHANGE THIS ENTRY
ID NUMBER IN DATABASE , > 10000 indicates ID CARD # and infotech status 9031
TWIKI NAME SET UP -
EMAILED COPY OF DATABASE INFO ETC TO ENDORSER, APPROPRIATE MANAGERS, INFOTECH ON 7/20/06
ALL HOURS STATUS STEPS -
FOR NYSBC STAFF ONLY, ADD EMAIL ADDRESS, AND ADD TO DIRECTORY
framirez@nysbc.org

META FORM name="AffiliationRequestForm"
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FORM FIELD NewAffiliate? NewAffiliate? Frank Ramirez
FORM FIELD AffiliateStatus? AffiliateStatus? Staff NYSBC
FORM FIELD ExpirationDate? ExpirationDate? 09/30/06
FORM FIELD PhoneNumber? PhoneNumber? 212-939-0660
FORM FIELD AffiliateEmail? AffiliateEmail? mailto:framirez@nysbc.org
FORM FIELD AffiliatePI? AffiliatePI? Willa Appel
FORM FIELD RequestedAccess? RequestedAccess?
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FORM FIELD NewAffiliate NewAffiliate Frank Ramirez
FORM FIELD AffiliateStatus AffiliateStatus Staff NYSBC
FORM FIELD ExpirationDate ExpirationDate 09/30/06
FORM FIELD PhoneNumber PhoneNumber 212-939-0660
FORM FIELD AffiliateEmail AffiliateEmail mailto:framirez@nysbc.org
FORM FIELD AffiliatePI AffiliatePI Willa Appel
FORM FIELD RequestedAccess RequestedAccess
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META TOPICMOVED by="DavidCowburn" date="1166473871" from="Main.AffiliateEndorsement060719134253" to="Staffarchive.AffiliateEndorsement060719134253"
 

Revision 220 Jul 2006 - Main.JasperShahn

 
META TOPICPARENT name="AffiliationEndorsement"

AFFILIATION ENDORSEMENT AT NYSBC

Your notes

Please change this text to indicate any additional information not reflected on the form below

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.

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?, created by DavidCowburn? Jan 2006

NYSBC OFFICE USE ONLY -- ENDORSER DONT CHANGE THIS ENTRY
Changed:
<
<
ID NUMBER IN DATABASE , > 10000 indicates ID CARD # and infotech status -
>
>
ID NUMBER IN DATABASE , > 10000 indicates ID CARD # and infotech status 9031
 
TWIKI NAME SET UP -
Changed:
<
<
EMAILED COPY OF DATABASE INFO ETC TO ENDORSER, APPROPRIATE MANAGERS, INFOTECH ON -
>
>
EMAILED COPY OF DATABASE INFO ETC TO ENDORSER, APPROPRIATE MANAGERS, INFOTECH ON 7/20/06
 
ALL HOURS STATUS STEPS -
Changed:
<
<
FOR NYSBC STAFF ONLY, ADD EMAIL ADDRESS, AND ADD TO DIRECTORY
-
>
>
FOR NYSBC STAFF ONLY, ADD EMAIL ADDRESS, AND ADD TO DIRECTORY
framirez@nysbc.org
 
META FORM name="AffiliationRequestForm"
FORM FIELD NewAffiliate? NewAffiliate? Frank Ramirez
FORM FIELD AffiliateStatus? AffiliateStatus? Staff NYSBC
FORM FIELD ExpirationDate? ExpirationDate? 09/30/06
FORM FIELD PhoneNumber? PhoneNumber? 212-939-0660
FORM FIELD AffiliateEmail? AffiliateEmail? mailto:framirez@nysbc.org
FORM FIELD AffiliatePI? AffiliatePI? Willa Appel
Added:
>
>
FORM FIELD RequestedAccess? RequestedAccess?
 

Revision 119 Jul 2006 - Main.RhondaAlphonso

 
META TOPICPARENT name="AffiliationEndorsement"

AFFILIATION ENDORSEMENT AT NYSBC

Your notes

Please change this text to indicate any additional information not reflected on the form below

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.

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?, created by DavidCowburn? Jan 2006

NYSBC OFFICE USE ONLY -- ENDORSER DONT CHANGE THIS ENTRY
ID NUMBER IN DATABASE , > 10000 indicates ID CARD # and infotech status -
TWIKI NAME SET UP -
EMAILED COPY OF DATABASE INFO ETC TO ENDORSER, APPROPRIATE MANAGERS, INFOTECH ON -
ALL HOURS STATUS STEPS -
FOR NYSBC STAFF ONLY, ADD EMAIL ADDRESS, AND ADD TO DIRECTORY
-

META FORM name="AffiliationRequestForm"
FORM FIELD NewAffiliate? NewAffiliate? Frank Ramirez
FORM FIELD AffiliateStatus? AffiliateStatus? Staff NYSBC
FORM FIELD ExpirationDate? ExpirationDate? 09/30/06
FORM FIELD PhoneNumber? PhoneNumber? 212-939-0660
FORM FIELD AffiliateEmail? AffiliateEmail? mailto:framirez@nysbc.org
FORM FIELD AffiliatePI? AffiliatePI? Willa Appel
 
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