Proposal Submission Form (In-House Research)

Proposal Submission Form (In-House Research)

Research project title*

Please provide the title of the research project supported by the proposed facility use.

Lead Principal Investigator*

Please provide the name and email of the lead PI

Co-Principal Investigators (if any)*

Please provide the names and emails of any co-principal investigators

Collaborating Institutions*

Please provide the names of any institutions collaborating on the research projects (prime awardees, subawardees, etc.)

Select

Provide the names and emails of all users who will access our facilities for the proposed experiments

If other, list institution(s)*

Ex-FAB Theme(s) applicable to Project*

Select or enter value

If other, identify research theme

Requested Ex-FAB Instrument(s)*

Select or enter value

Type of Facility Use*

Select or enter value

Anticipated Length of Facilty Use

Please provided the anticipated length of time to conduct the proposed experiments

Please describe any anticipated support needed from the Ex-FAB Technical Staff*

Requested Start Date*

Briefly describe the study subject*

(microbial strain, community, enzyme, etc.)

Subject's BSL level*

Select or enter value

Will the Subject be live?*

Select or enter value

Will the Subject be chemically fixed? *

Select or enter value

Will any recombinant or synthetic molecules be brought into the Ex-FAB facility?*

Select or enter value

Process 1*

Number of Samples*

Process 2

Number of Samples

Process 3

Number of Samples

Process 4

Number of Samples

Process 5

Number of Samples

Please list any materials or chemicals that will be brought into the Ex-FAB facility.*

Please describe any special requirements for handling or disposing of the materials brought to ExFAB*

Please feel free to include any additional details in the project description.

Additional Documentation:*

Please attach 1) an NSF BioSketch for the project PI, and 2) a brief proposal in PDF format detailing the proposed experiments. To be considered, the proposal must contain the sections outlined here.

Drag and drop files here or

Submitter Name*

Submitter Title*

Submitter Institution

Select or enter value

Submitter Email*

Submitter Phone*

Phone

Send me a copy of my responses

Privacy Notice|Report Abuse