First name
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Last name
*
Email:
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Phone number (with area code)
*
Duke unique ID#: (on badge)
*
Duke card number (on badge):
*
Duke NetID:
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Principal Investigator (PI):
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Duke fund code (WBS) for training:
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Are you linked to the fund code above in CoreResearch?
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Yes
No
Not Sure
What type of training are you requesting? Select all the currently apply.
Independent BD analyzer use (L01, F01)
Independent iQue analyzer use (Q01)
Independent Muse analyzer use (M01, M02)
Staff-assisted sorter use (A02, S02)
Independent sorter use (A02)
Current position:
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Graduate Student
Post-doctoral/Clinical Fellow
Laboratory Staff
Faculty
Other
How many years of experience do you have operating flow cytometers?
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How many years of experience do you have preparing samples for flow cytometric analysis:
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Do you have at least 10 hours of cytometer contact time with a proficient operator?
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Yes
No
Instruments used:
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BD Analyzers (ex: Scan, Canto, LSR)
BD Sorters (ex: Aria, Vantage)
Coulter Analyzers
Coulter Sorters
Other
Anticipated hours of flow work per week
# of colors/fluors typically used:
*
Additional comments:
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