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Biology Department Affiliate Request Form

To begin affiliate setup, please provide the following information regarding the individual for whom you are requesting affiliate status.

  • (Max One Year) You will be contacted one month before the status expires regarding renewal processes.
  • (e.g., job description, details of project(s) to be worked on, how anything related to this is funded)
  • Please select all that apply:
  • HR Background Information

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