DREXEL UNIVERSITY INTERNAL USER ACCESS FORM
Subscription:
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Renewal
FOR ADMIN USE ONLY
Online Safety Training
FOM entry
Request for use of CRF Equipment:
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Please Select
FEI ESEM/OIM
Zeiss FESEM
UV/Vis Raman
FTIR
Nanoindenter
SAXS/WAXS
XRD
JEOL 2100 TEM
FIBSEM
XPS
Sample Prep
Thin Films
AFM
Other
User Full Name (First, Last):
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Drexel Student ID (ex. 12345678) for CRF Card Access:
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Department/Affiliation:
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Biology
Biomedical Engineering
Chemical and Biological Engineering
Chemistry
Civil, Architectural, and Environmental Engineering
Computer Science
DUCOM
Electrical and Computer Engineering
Food Science, Goodwin College
Materials Science and Engineering
Mechanical Engineering and Mechanics
Physics
Academy of Natural Sciences
Other
User Email:
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Telephone:
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Emergency Contact Info (full name & phone):
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Primary Faculty Advisor: (Responsible for payment of equipment usage/training fees)
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Department/Affiliation:
Please Select
Biology
Biomedical Engineering
Chemical and Biological Engineering
Chemistry
Civil, Architectural, and Environmental Engineering
Computer Science
DUCOM
Electrical and Computer Engineering
Food Science, Goodwin College
Materials Science and Engineering
Mechanical Engineering and Mechanics
Physics
Other
Faculty Email:
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Billing Account Info (FUND-ORG for subscription & training fees) ex. 12345-3668:
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Billing Account/Grant End Date
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Month
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Day
Year
Date
From the rate schedule below, select Time Period & Amount:
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Please Select
Zeiss FESEM, FEI ESEM/OIM (1 month - $600)
Zeiss FESEM, FEI ESEM/OIM (3 months - $1000)
Zeiss FESEM, FEI ESEM/OIM (6 months - $1500)
UV/Vis Raman/FTIR (1 month - $500)
UV/Vis Raman/FTIR (3 months - $900)
UV/Vis Raman/FTIR (6 months - $1200)
Nanoindenter (1 month - $250)
Nanoindenter (3 months - $500)
Nanoindenter (6 months - $750)
SAXS/WAXS or XRD (1 month - $250)
SAXS/WAXS or XRD (3 months - $400)
SAXS/WAXS or XRD (6 months - $600)
TEM (1 month - $800)
TEM (3 months - $1200)
TEM (6 months - $1800)
FIB (1 month - $1100)
FIB (3 months - $1600)
FIB (6 months - $2500)
XPS (3 months - $1200)
XPS (6 months - $1800)
Hourly Staff Assistance/Training ($50/hr)
Sample Prep (basic 3 months - $150)
Sample Prep (basic 6 months - $200)
Sample Prep (advanced 3 months - $300)
Sample Prep (advanced 6 months - $400)
Thin Films & Lithography (1 month - $500)
Thin Films & Lithography (3 months - $750)
Thin Films & Lithography (6 months - $1000)
AFM (1 month - no fee)
AFM (3 months - no fee)
AFM (6 months - no fee)
Thin Films Only (1 month - $300)
Thin Films Only (3 month - $500)
Thin Films Only (6 month - $700)
Lithography Only (1 month - $300)
Lithography Only (3 month - $500)
Lithography Only (6 month - $700)
Other
Training fees (Estimate only. Accounts will be charged for actual training time at the standard rate of $50/hour):
Please Select
SEM Training - (8hrs $400)
Raman - (4hrs $200)
Nanoindenter - (4hrs $200)
SAXS/WAXS - (4hrs $200)
XRD - (2hrs $100)
TEM - (12hrs $600)
FIB - (12hrs $600)
XPS - (8hrs $400)
Sample Prep - $50/hr)
AFM - (2hrs - $100)
Other
** I agree to abide by all policies as indicated on the Drexel Core Facilities website .
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