Project Form

Date: *

Month

Day

Year

Date of Submission

Name: *

Status (M.Sc., Ph.D., PDF, etc.): *

Department: *

Institution: *

Institution Address: *

City *

Province/State *

Country *

Postal/Zip Code *

Telephone Number: *

E-mail Address: *

Supervisor: *

Supervisor Telephone Number: *

Supervisor E-mail: *

Brief Description of the Project: *

If You Consulted with Staff, Indicate Who: *

Type of Sample(s): *

Source of samples: *

If Biohazardous, Please Specify: *

All experiments requiring a biosafety protocol in the facility MUST be covered by the submitting laboratory鈥檚 approved Biosafety Protocol. All users will provide FEMR staff with a copy of their Biosafety Protocol (/ehs/files/ehs/ehs-form-014_v2.1_biohazards_application_form_1.pdf) and their EHS Permit Number. The FEMR is not approved to handle samples above BSL-2 or select agents. All users will need to add FEMR research spaces to their own Biosafety Protocol before beginning experiments.

If Biological, Fixative Used: *

Are the samples magnetic? If yes, you must meet with staff. *

Quantity: *

Work to be Performed: *

Service(s) by Staff?

Service(s) by Staff

Instrument Training?

Instrument Training

Experience with Electron Microscopy: *

If You Know, Indicate Which Instruments You Wish to Access: *

FOAPAL Number or P.O. Number: *

Split FOAPAL Number:

Consent *

By selecting "Yes", you certify you spoke to your supervisor about your project at the FEMR and they agreed to cover all fees and other costs and expenses incurred on your behalf at the FEMR.

Acknowledgement: *

Yes

By selecting "Yes", in the event of journal publication from research carried out at the FEMR, you agree to acknowledge the assistance provided by staff and access to the research infrastructure of the FEMR. In projects where staff of FEMR provide data collection-only services on user-provided ready-to-image specimens, the following acknowledgements should be included in the publication: 1. In your Materials and Methods section, please mention the data were collected on a (specify microscope here) electron microscope located at the Facility for Electron Microscopy Research at 捆绑SM社区. 2. In the acknowledgements section of the paper, please recognize the assistance provided by FEMR staff. For example: We thank ________ at the Facility for Electron Microscopy Research of 捆绑SM社区 for help in microscope operation and data collection. In those projects where FEMR staff enabled customized approaches for data collection or added significant intellectual contributions to overcome extra difficulties and make the work possible, please recognize FEMR staff with co-authorship on manuscripts. After the paper is published, please complete and submit the publication reference via the submission webform or send the pdf reprint of the paper or complete citation to S Kelly Sears.

By selecting "Yes", you agree to join the FEMR mailing list.

Yes

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Facility for Electron Microscopy Research