ID Card Request Form

Access request ID Card

If you have any questions about the form, please contact: victor.riverasantiago@upr.edu
Name*

First NameLast Name
Institutional/Official Email Address:*
example@example.com
Select a category:*
*Undergraduate Student: To apply for an ID Card, you need to have at least 5 months working at MSRC facilities. In the meantime, you can use a Temporary Access Card.
Select the date that you began work in the MSRC

MesDíaAño
Fecha
Select the date on which you will finish working at MSRC (approximately)

MesDíaAño
Fecha
*We’re sorry, you cannot request an ID Card yet. You need to have worked at the MSRC for at least 5 months (1 term)
Provide your student ID number:*
Job Title:
Enter your intitution name:*
Select your PI:*
What type of access do you need?*

1st and 2nd Floor (General Access)Floor 6Other
*Floors 3, 4 and 7 must be authorized by the Executive Director
Is this access for a new ID card?*

YesNo, I already have an MSRC ID card. (I'd like to make an update.)
Please provide the last five numbers of your ID Card:
The University of Puerto Rico (UPR) responds to public policy requirements that require the establishment of security mechanisms in work areas. To comply with them, the use of an access and identification card is implemented, which all personnel assigned to the Molecular Sciences Research Center (MSRC) must use, always in a visible way, while they are in the MSRC facilities.

I First Name* Last Name* agree to have read and understood this document; and I promise to comply with the rules and conditions established by the institution to create safe work areas, and for which I have been assigned an access and identification card to MSRC.

Signature*
You must take the security tour before applying for an ID card.*

I certify that I completed the Safety Tour of the MSRC
You must take the CITI courses before applying for an ID card.*

I certify that I completed the CITI courses
*If you have not yet taken the Safety Tour and the required CITI courses, please contact with Manuel Carrión (manuel.carrion@upr.edu) and Victor Rivera (victor.riverasantiago@upr.edu). You can access the video of the safety tour and the questionnaire here: https://cicim.upr.edu/msrc-onboarding
Please verify that you are human*
Should be Empty:

Access request ID Card

*We’re sorry, you cannot request an ID Card yet. You need to have worked at the MSRC for at least 5 months (1 term)