Materials Research Center (MRC) Support Facilities Request Form
Requestor Name
*
First Name
Last Name
Email
*
[email protected]
Name of advisor
*
First Name
Last Name
College
*
Please Select
CAS
CEN
CAAD
SBA
Department
*
Please Select
CHE
CSE
CVE
ELE
MCE
INE
MGT
MKTIS
ACC
FIN
ECO
INS
ENG
ARA
MTH
BCE
PHY
MCM
PAP
ARC
DES
The Research Theme is within the Scope of
*
Please Select
ABSBERC
AISIR RC
EWSERC
Purpose of the measurement
*
Please Select
FRG supported research
Undergraduate research project
Graduate research project
Faculty independent research
External collaboration
Grant Number
*
Name of the Undergradute Student
*
Name of the Student
*
Name of the Collaborator
*
Affiliation of the Collaborator
*
Sample Information
Sample Description
*
Number of Samples
*
Sample Preparation Requirements
*
Hazardous Materials (if any)
*
Analysis Requirements
Which instrument or technique do you need?
*
Please Select
XRD
SEM
EDX
DSC
Raman
Lasers
AFM
UV-Vis
PL
Spincoater
Thermal Evaporator
Specific Analysis Parameters
*
What information do you hope to obtain from analyzing these samples?
*
Preferred Start Date
*
-
Month
-
Day
Year
Date
Preferred End Date
*
-
Month
-
Day
Year
Date
Additional Comments
*
Submit
Should be Empty: