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BRIC & CMF Laboratory User Agreement
New User Registration Form
First Name
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Last Name
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Department/Unit
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Email Address
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Phone Number
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User Status
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NIU Undergraduate Student
NIU Graduate Student
NIU Staff
NIU Faculty
External Academic
External Non-academic
Source of Funding
*
Grant
Non Grant
Funding Account Information
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General description of usage needs
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General description of sample types
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Have you completed the required safety training?
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Yes
No
Date of Completion
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Have you completed the required instrument training?
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Yes
No
Date of Completion
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Do you need assistance with any of the following? (check all that apply)
*
Experimental design
Sample preparation
Data collection
Data analysis
All aspects
Will submit samples for complete analysis
By signing below and submitting this document, I am agreeing to the terms and conditions of the
BRIC and CMF User Agreement User Agreement
.
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clear
Date
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