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Growth Chamber request form

Online Rosen Center Growth Chamber
Request
Form

* Required Fields
Department:
*
Date submitted:
*
Principal Investigator: *
Office Phone:
*
Home Phone:
*
E-Mail: *
Responsible Person: *
Office Phone:
*
Home Phone:
*
E-Mail: *
Project Name: *
Funding Agency:
Cost Center Number: *
Space Requested (chambers are 7-, 15-, and 36-sq. ft.): *
Date to be initiated: * Terminated:
*
Special needs (lighting, temperature, etc.):
Brief description of research and justification for growth chamber space:*
If pathogens will be involved, how will the space be decontaminated?

Names and contact information of graduate students and other research personnel associated with the research: *