Reservation Limit Exemption Form

This is the Reservation Limit Exemption Form. Please complete this form if you need to use the microscopes longer than the permitted maximum duration during prime use hours (8am - 5pm, Monday - Friday, except University holidays and closures). This must be completed at least one week prior to your planned usage of the microscope. All requests will be reviewed as soon as possible and a response given.

Your Name (First and Last)

Your Lab

Your E-Mail Address

Microscope

Molecular Devices ImageXpress MicroXL
Nikon A1R Laser Scanning Confocal and TIRF
Nikon NSTORM
Nikon Spinning Disc Confocal

How many consecutive hours would you like to use the microscope during prime use hours?

How frequently do you intend to require extended imaging time during prime use hours?

One time only
Occasionally (less than once per month)
Frequently (once per month or more)

Why does this experiment need to take place between 8am and 5pm, Monday - Friday? Alternatively, why can't this experiment take place outside of prime use hours (8am-5pm, Monday - Friday)?

characters remaining

Is the exemption needed for a grant application or to respond to reviewer comments?

When is the grant or response due? Please enter NA if this does not apply.

Enter the word below (Required)

June
Su	Mo	Tu	We	Th	Fr	Sa
						1
2	3	4	5	6	7	8
9	10	11	12	13	14	15
16	17	18	19	20	21	22
23	24	25	26	27	28	29
30

June

Personal tools

Reservation Limit Exemption Form