SSRL MACROMOLECULAR CRYSTALLOGRAPHY PROPOSAL FORM
Return 1 electronic copy to Lisa Dunn, SSRL, 2575 Sand Hill Rd., Menlo Park, CA 94025,
(650) 926-2087, lisa@ssrl.slac.stanford.edu
Applications may be screened by a number of SSRL scientific staff for scheduling and safety related issues .
SUBMISSION INFORMATION:
Date:
Proposal Number (if Extension/Replacement)
Check if Applicable:
__
Extension/Replacement
__
Monochromatic
__
MAD / SAD
__
Ultra-High Resolution (≤ 1 Å)
__
Remote Access Data Collection
Will proprietary research be performed under this application?**
(Note that proprietary research is subject to specific terms and
conditions, and SSRL must be reimbursed at full cost recovery)
Yes
No
AIDS Related?
Yes
No
(underline choice)
*http://www-ssrl.slac.stanford.edu/users/user_admin/px_proposal_guide.html
TITLE OF PROPOSED EXPERIMENT:
MANDATORY: Please write a short 8-10 line abstract. Note: this abstract will be made publicly available on the NIH database as
part of our grant reporting requirement.
NAME OF SPOKESPERSON (First, MI, Last):
DEGREE:
INSTITUTION ADDRESS:
OFFICE/LAB PHONE(s):
E-MAIL ADDRESS:
CITIZENSHIP:
PRINCIPAL INVESTIGATOR(S) AND SOURCE OF RESEARCH FUNDS SUPPORTING THIS PROJECT:
1
CRYSTAL DATA: please complete for each sample you plan to bring
Mol.
Wt.
Size
Sample(s): (mm x mm x mm) (kD)
Cell
Max
Space Dimensions Res
Group (Å x Å x Å)
Temp* NCS**
(Å)
Anom
Scattering
Wavelength Element
Anom Sites/
Molecule
* Temperature of Data Collection
** NCS: Number of molecules expected per asymmetric unit
MANDATORY: For each project/sample please give a short description (usually 1-3 pages) of what the planned work includes, why
the structural work is significant, and a clear statement of need for synchrotron radiation. This statement, and the crystal information
given above, will form the basis for deciding what priority each proposal will receive. If the proposal contains multiple projects,
please continue on separate page(s). If the proposal is a extension please 1) be clear on what was accomplished earlier and why
additional time is needed, and 2) complete the data summary forms (page(s) 4) as well.
PUBLICATION INFORMATION:
HAVE YOU RECEIVED BEAM TIME AT SSRL IN THE PAST?
YES
NO
IF YOU HAVE PREVIOUSLY RECEIVED BEAM TIME AT SSRL, HAVE YOU NOTIFIED SSRL OF ALL OF YOUR
SSRL RELATED PUBLICATIONS, PATENTS AND/OR AWARDS?
YES
NO
(If not previously reported, list below or append to this proposal information on publications, patents, and awards that resulted from
your prior beam time at SSRL (refer to lists at www-ssrl.slac.stanford.edu/pubs/):
IF YOU PUBLISHED RESULTS RELATED TO YOUR SSRL BEAM TIME, DID YOU ACKNOWLEDGE SSRL AND
FUNDING SOURCES IN THESE PUBLICATIONS?
YES
NO
(If not already done, please refer to instructions and sample acknowledgements at www-ssrl.slac.stanford.edu/pubs)
2
DO YOU HAVE ANY SUGGESTIONS OR CONCERNS WHICH YOU WOULD LIKE TO SHARE WITH SSRL, THE
PROPOSAL REVIEW PANEL, OR THE SSRL USERS' ORGANIZATION EXECUTIVE COMMITTEE?
COLLABORATOR(S) INVOLVED IN THE EXPERIMENT:
Name (First, MI, Last) Degree
(Remote,
Institution
(if different from above)
E-Mail Address
Citizenship Onsite, Both)
POTENTIAL SAFETY CONCERNS OR HAZARDS
___
No hazardous substances, equipment, or procedure will be brought to SSRL as part of this proposed experiment.
IF YES, please complete safety questions below. Additionally, provide detailed safety procedures in proposal text.
CHEMICAL USE? ( ) No ( ) Yes
Substances:_____________________________________________________________
Common Names:________________________________________________________
Note: If you are bringing a Hampton Kit for heavy atom derivatives, please list catalog # _____________
BIOHAZARDOUS MATERIALS USE? ( ) No ( ) Yes
- If yes, what type __________ & what is the materials NIH classification _________________
HUMAN OR ANIMAL SUBJECT USE? ( ) No ( ) Yes
- If yes, what type __________. *Please contact SSRL Safety Office for further guidance.
RADIOACTIVE MATERIALS USE? ( )No ( )Yes*
- If yes, what is the materials specific activity ________________________________________
LASER USE? ( ) No ( ) Yes
- If yes, ANSI classification: ___________
_Wavelength: _________
Laser hazards controls you will apply:
3
Total power: __________
FOR SSRL FEDERAL AGENCY REPORTING PURPOSES, PLEASE CATEGORIZE YOUR PROPOSAL:
RESEARCH AREA (type X in cell to left of all that apply)
Materials Science
Polymers
Earth Sciences
Engineering
Physics
Medical Applications
Environmental Sciences
Instrumentation or Other
Development
Chemistry
Biological and Life
Sciences
Optics
Purchase of Specialty
Services or Materials
Other: (specify)
FUNDING AGENCY (type X in cell to left of all that apply)
DOE/BES
NASA
USDA
Fdn/Research Inst.
DOE/BER
NIH
Homeland Security
State/County/City
DOE Other: (specify)
NIST
Other US Gov’t: (specify)
Prof/Voluntary Assoc.
DoD: (specify)
NNSA
Industry
Foreign: (specify)
DVA
Other: (specify)
NSF
4
EXTENSION APPLICATION
FOR SSRL MACROMOLECULAR CRYSTALLOGRAPHY PROPOSALS
THE FOLLOWING INFORMATION MUST ALSO BE COMPLETED IF THIS APPLICATION IS AN EXTENSION
PLEASE COMPLETE FOR DATA COLLECTED AT SSRL
(Make additional copies as necessary)
BL1-5
BL7-1
BL9-1
BL9-2
Sample*
Wavelength Used
Date Collected
Number of 8-Hour Shifts Used
Temperature
Space Group
Resolution (Å)
Total Number of Reflections
Number of Unique Reflections
Rsym (I)
Rsym in Highest Res. Shell
% Completeness
Helped Model Building?
Other Relevant Information
* Be sure to describe on page(s) 2 how data were used. Please define the sample name in the narrative.
LIST PUBLICATIONS BASED ON WORK DONE AT SSRL ON THIS PROPOSAL:
5
BL11-1
BL11-3