Please change this text to indicate any additional information not reflected on the form below
ENDORSER GillianSmall? -- Your name will automatically appear as the creator of the new endorsement. 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. Impersonation of the endorser will be regarded extremely seriously.
Your endorsement 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.
Set ALLOWTOPICVIEW = JorgeMorales?, GillianSmall?, NysbcstaffGroup?, ScicomGroup?, NysbcendorserGroup?
Template is AffiliateTemplate?, created by DavidCowburn? Jan 2006; Note that the Affiliator should be the FIRST name in the ALLOWTOPICVIEW as identifier.
AffiliateEndorsement070719102531
NYSBC OFFICE USE ONLY --ENDORSER DONT CHANGE THISNotes for staff
ENTRY
ID NUMBER IN DATABASE , > 10000 indicates ID CARD # and infotech status
11893
EMAILED COPY OF DATABASE INFO ETC TO ENDORSER, APPROPRIATE MANAGERS, INFOTECH ON
need Cousiz to be affiliated etc -
ALL HOURS STATUS STEPS, include C14 number and expiration date
NOT AUTHORIZED UNLESS OVERRIDDEN, C!$ # 83025833, 5/7/2010
ID card inactivated 3/13/08 by MG, KD says affiliate has left CCNY.