Genomics and Microarray CoreSpatial Transcriptomics Sample Submission Form

Genomics and Microarray Core

Spatial Transcriptomics Sample Submission Form

Drop-off Instructions

Please email to schedule a time for sample drop off

Gabriel Yette

Email: gabriel.yette@cuanschutz.edu

Claire Gillette

Email: claire.gillette@cuanschutz.edu

Contact Information

PI Last Name*

PI First Name*

PI Email*

Post Doc/Student/Tech Name

Post Doc/Student/Tech Email

Preferred Contact*

Please select the preferred contact for this order

Post Doc/Student/Tech

Phone number

Please enter in the preferred contact phone number

Institution

Address

City

State

Zip code

Experimental Conditions

Experiment Type*

Select or enter value

Sample Block type*

Select or enter value

Species *

Select or enter value

Other

Have you completed Initial Permeabilization Test for Fresh Frozen?*

Yes

Have you completed Initial Test Slide for FFPE Block*

Yes

Number of Slide(s)*

Tissue Type (e.g. Heart, Brain, etc.).*

Data Analysis

Please enter in the email address of the person who will be receiving data via Server or FTP Account*

How would you like to receive your data*

NOTE: Selecting the wrong option may delay the delivery of your data. If unsure, please ask your Bioinformatician about their preference.

Please enter your Globus ID (e.g. "shadete@access-ci.org")

Payment Information:

Are you a Gates Center Member?

Yes

Are you a Cancer Center Member?

Yes

Are you affiliated with the University of Colorado?

Yes

7. Speedtype

Please enter speed type if affiliated with the University of Colorado

Sequencing Grant

Yes

Please specify the award recipient and award number

RBI Grant

Yes

Please specify the award recipient and award number

Payment method if not affiliated with the University of Colorado

Payment by check

Payment by credit card

Payment by wire transfer

Required signatures

Please have both the Principle Investigator (PI) that will be paying for the Sequencing Services and the Research/Technician/Student/Post-Doc below, acknowledging that all of the information provided on the form is correct. Signature of this form acknowledges that the PI and Technician/Student/Post-Doc have agreed to all sample submission, quality, quantity, project scheduling, and researcher financial responsibility requirements. Signature of this form authorizes the CU Genomics and Microarray Core to order all consumables necessary for the researcher’s sequencing project and confirms that the PI is financially responsible for items ordered for their project and all labor cost associated with the project.

Required Signature: Principle Investigator*

By typing your name into the space below you hereby agree to the above statement as the Principle Investigator. Please add your first/last name, and the date you are signing.

If you are signing on behalf of the Principle Investigator please note that they will receive a copy of this request.

Required Signature: Technician/Student/Post-Doc*

By typing your name into the space below you hereby agree to the above statement as the technician/student/post-doc. Please add your first/last name, and the date you are signing.

If you are the PI filling out this request please write N/A in the box below.

Data Sample and Retrieval

All data from sequencing run will be deleted from our servers 31 days after you receive notification that your data is ready to be downloaded from our server via email.

Please pick up constructed libraries no later than 60 days after data has been downloaded from our server. If you do not pick up your libraries they will be destroyed.

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