Functional Genomics and Bioinformatics Request Form

Last Name*

Please enter your last name

First Name*

Please enter your first name

Position/Title*

Please enter your position/title

Email address*

Please provide your email address

Internal or external request*

Please indicate if you are an internal or external user

Internal (Sanford)

Academic/Non-Profit

Commercial

Department*

Please select the department to which you belong. If your department is not listed, please type in your department name.

Select or enter value

Lab*

Please enter name of the lab for which the work is being performed

Accounting unit*

Please enter the 3-digit company number (e.g. 800 for research) followed by 5-digit accounting unit (typically the one used to place orders) e.g. 800-12345

PI name*

Please enter the name of the PI for this request

Organization*

Please enter the name of your organization

Phone Number

Please provide your phone number if available

Project title*

Please provide the title of your project

Are you the Principal Investigator?

Yes

Would you like to meet with Core Staff to discuss your project?*

Yes

Who would you like to meet with?*

Select or enter value

Project Description

Please provide a brief description of your project including specific aims

Services Requested*

Please select all that apply

Select

Desired Completion Date*

Please note that we require at least 2 weeks notice for all deadlines

Priority

Immediate

High

Medium

Low

Comments

Please add any additional comments here

File Upload

Please upload all relevant files here

Drag and drop files here or

Send me a copy of my responses

Privacy Notice|Report Abuse