Project Form - FEI Titan Krios Cryo-STEM | Facility for Electron Microscopy Research

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Project Form - FEI Titan Krios Cryo-STEM

Facility for Electron Microscopy Research
捆绑SM社区, 3640 University Street, Montr茅al, QC H3A 0C7
Telephone: 514.398.6329; Facsimile: 514.398.5047; E-mail:听kelly.sears [at] mcgill.ca
APPLICATION听FORM FOR CRYO-ELECTRON MICROSCOPY
MUST BE SUBMITTED AND APPROVED BEFORE PERFORMING THE WORK
ONLY ONE APPLICATION WILL BE ADDED TO THE WAITING LIST
听DO NOT SUBMIT THE APPLICATION UNTIL YOU AND YOUR TEM GRIDS ARE READY FOR DATA COLLECTION

Fields with an * are required.

Date: *

Month

Day

Year

First Name: *

Last Name: *

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

Institution: *

Department: *

Address: *

Telephone Number: *

Mobile Number:

Email Address: *

Name of Supervisor (If Applicable): *

Supervisor's Telephone Number: *

Supervisor's Email Address: *

Type of Project (Screening or Data Collection): *

Justify the Screening Day Request on Krios and not TF20:

Estimated Number of Days Required for your Project? *

Title of Project: *

Brief Description of Project: *

Brief Sample Information (e.g., Molecular Weight, Multimerisation State, etc.): *

Required Specimen Preparation: *

FEI Vitrobot MkIV

Biohazardous? If Yes, Please Specify: *

Attach Copy of 捆绑SM社区 Application to Use Biohazardous Materials (/ehs/files/ehs/ehs-form-014_v2.1_biohazards_application_form_1.pdf):

Application to Use Biohazardous Materials
Files must be less than 2 MB.
Allowed file types: txt pdf doc docx.

EHS Permit # for Handling Biohazardous Materials:

Number of Samples to Image (if >1, submit a separate form for each): *

Number of Grids Expected to be Loaded: *

Type of Grid (No Mixed Grids): *

Methods (Single Particle Analysis/Tomography/Phase Plate): *

Resolution Target: *

Briefly Describe Supporting Information: *

Are the Images from the Grids to be Submitted?: *

Negative Stain 2-D Image:

Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png bmp tif txt pdf doc ppt pptx rar zip.

Full Cryo-EM Grid Map by SerialEM: *

Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png bmp tif txt pdf doc docx ppt pptx.

Cryo-TEM 2-D Image:

Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png bmp tif txt pdf doc docx ppt pptx rar tar zip.

3-D Model:

Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png bmp tif pdf doc docx ppt avi mov mp3 rar tar zip.

Is Current Research Funding Level >$100,000?:

Yes

FOAPAL Number or P.O. Number: *

Leave this field blank

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捆绑SM社区

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Project Form - FEI Titan Krios Cryo-STEM

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Facility for Electron Microscopy Research