MARQUETTE UNIVERSITY HELEN WAY KLINGLER COLLEGE OF ARTS AND SCIENCES MACHINE SHOP WORK REQUEST FORM DATE SUBMITTED: Click here to enter a date. NEED BY DATE: Click here to enter a date. DEPARTMENT CHECK ONE: ☐BIOLOGY ☐CHEMISTRY ☐ PHYSICS ☐OTHER: PROJECT TYPE CHECK ONE: ☐ INSTRUCTIONAL ☐ RESEARCH (PROFESSOR IN CHARGE): ☐ SUPPORT ☐ OTHER: * * * * * * CONTACT NAME & LOCATION: CONTACT PHONE AND E-MAIL: PROJECT DESCRIPTION: FOR SHOP USE BELOW START DATE: ___________________ MATERIALS/TOOLS: COMPLETION DATE: _______________ ___________________________________ PRICE: _________________________ ___________________________________ PRICE: _________________________ ___________________________________ PRICE: _________________________ TOTAL MATERIALS/TOOLS COST: _________________________ TOTAL HOURS: ____________________ * * * RECEIVED BY: _________________________________________________ DATE: ________________________