The Pritzker Laboratory - Project Scheduling Form

Pritzker Lab Home

This form is intended for researchers who wish to use the Pritzker Laboratory facilities and equipment. The form will be forwarded to the Lab Manager.

1. General information|


Project PI(s):
Project PI contact Email:
Phone:
Address:
Lab User(s), if diff. from PI(s):
Lab User(s) Email:
Date of request:
Museum phone number (if you have one)
Home or local phone number (if you have one)
Dept./Division at the museum
Organism(s) of study

2. About the project|

Project Title:

Project Description:
In abstract format, briefly outline the proposed project and its scientific objectives.

3. Laboratory Specifics|

Proposed start date: End date:

Materials and Methods:
Describe briefly the nature and scope of the data to be collected, as well as experimental strategies for collecting the data (e.g., DNA extraction needs/tissue types, gene(s) to be studied, availability of amplification and sequencing primers and PCR protocols, no. of taxa/individuals to be studied, etc.).

4. Funding sources|

NOTICE: There is a $100 Project Initiation Fee for each new user.

Source of Project Funds:

Estimated Project Costs
a. Chemicals/Reagents/Supplies: $
b. Equipment: $

Whom have you contacted to help with the budget planning?

5. Laboratory personnel|

Describe proposed work schedule (if part-time, estimate likely days and hours for lab use)

This user needs:
Full training (no prior projects involving PCR/DNA Sequencing)
Partial Training (some prior experience with some aspects)
Orientation only (experienced molecular biologist, new to this lab)
No training required (prior user of our facility)
[more specifics on background of "trainee" will be obtained prior to scheduling project]

Whom have you contacted regarding help with analysis of the data?

6. Training schedule request|

Please fill this section if the lab user needs training. The training schedule includes one session each semester plus one summer session. Indicate 1st and 2nd choices.
Because demand is highest for Summer session, please send your request early for that period.

First choice :
Spring (Jan-Apr) Summer (May-Aug) Fall (Sep-Dec) Year:

Second choice :
Spring (Jan-Apr) Summer (May-Aug) Fall (Sep-Dec) Year:

7. Affiliation and personal data

With whom do you have an affiliation at The Field Museum?

Please list your study sites:

Please supply the following information for our website:

Education

Awards

Current Research

Publications

Links to your personal page or other pages of interest

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