Imaging Facility Training Requisition Form

  • Imaging Facility Training Requisition Form

  • To proceed with training, please complete this form so that your imaging experience and experimental needs can be assessed. Once returned, the imaging specialist will contact you to book a consultation. Fill out a new form for each new experimental aim.

  • Trainee/Staff Information

  • Are you a research visitor or student that will be working here for 6 months or less?

  • Previous Training and Experience

  • Identify all imaging systems which you have been previously trained to use. (Check all that apply.)

  • Sample Type

  • Select your sample type.*
  • Tissue Preparation*

  • Sample Format

    Reminder that glass coverslips or glass bottom dishes and plates should be 0.17mm thick (#1.5).
  • Select your sample format.*
  • Multiwell plate type.*
  • Multiwell plate base.*

  • Safety

  • Does your sample contain any hazardous material (biological and/or chemical)?*
  • Indicate the risk group of your sample/pathogen.*
  • Indicate if the pathogen is in your lab’s biosafety permit.*

  • Live Cell Imaging

  • Is your sample fixed or living?*
  • Indicate incubation requirements*
  • For multiple timepoints, indicate the frame rate.*

  • Fluorescence Requirements

  • Indicate all fluorophores and/or fluorescent proteins in your sample.*

  • Transmitted Light Requirements

  • Indicate transmitted light requirements*

  • Resolution Requirements

  • What is the required spatial resolution?*

  • Experimental Aim and Analysis Requirements

  • Identify image analysis software that you are experienced with. (Check all that apply.)

  • Acknowledgements

  • Should be Empty: