Environmental Monitoring

Molecular Multi Users Lab

Request of Space Application form

Everyone interested in working in the multi-user lab should fill out an application form.

Notice of consent for the use of information collected in this form

The information collected by this form will be used to evaluate the applicant's proposed research visit or services requested.

By clicking the “Submit” button of the Web form, you give STRI your voluntarly consent for the use of the information submitted.

STRI makes all possible efforts to clearly communicate how the collected information will be used, so the applicant can determine whether or not to provide the information.



MMUL User Name
MMUL User E-Mail
Address
Supervisors Name
Supervisors E-Mail
Title of Research Project
Investigators Involved
Sponsor at STRI (If any)

Funding Source (If STRI write fund number)
Optimum Dates Requested
Alternative Dates Requested
How Many Times Per Week Will You Be At The MMUL
(Aprox. Hours per Day)
Names of Assistants or People Doing Lab Work
Specify Level of Training and Experience of Every Person That Will Work at the MMUL
Name the Protocol(s) Methods
that you Propose To Use
How Many Gels per Week
Are You Planning on Running?
Equipment That You Will be Using
List Chemicals That the MMUL Will Have to Provide
List Chemicals That You Will Bring With You
Will You Require The Use Of Hazardous Chemicals or Radioisotopes? Specify