CU Anschutz Core Application

CU Anschutz Core Application

Your Name*

Your Email Address*

Name of the Core or Shared Campus Resource*

Weblink for the Core or Shared Resource*

Director's Name*

Manager's Name

Finance Administrator's Name

Other Core Contact

Please list Name and Title

Core/Resource Location*

Please include Building, Floor and Room Number

Core-Specific Specialized Equipment

Please list any specialized equipment within your Core

Is this a department or center resource?*

Example: ______ at the CU Cancer Center

Yes

If yes, please explain

Please list a maximum of 5 keywords that would identify your services

These keywords will be used as a search function for the website

Is there another core or resource on the Anschutz Medical Campus that provides services similar to this one?*

Yes

I Don't Know

If yes, please name this core*

Please Attach:*

A list of current users of this resource (including their name and department information)
The resource(s) fee structure and billing methods

Drag and drop files here or

Send me a copy of my responses