Center for Nanostructure Characterization
SIGN UP FORM FOR USING THE EQUIPMENT IN THE CNC
(THIS FORM IS INVALID WITHOUT PEOPLESOFT PROJECT NUMBER AND PO NUMBER)
USER NAME:
DEPARTMENTAL AFFILIATION:
EQUIPMENT REQUESTED FOR USE:
STARTING DATE OF REQUEST:
ENDING DATE OF REQUEST:
SUPERVISOR AND AFFILIATION:
MATERIALS TO BE EXAMINED:
FUNDING AGENCY OF THE PROJECT:
PEOPLESOFT
DEPT. CHARGE NO. (REQUIRED):
DOC ID NO. (10 DIGITS)
(REQUIRED):
EXPIRATION DATE OF THE PROJECT:
SIGNATURE OF THE SUPERVISOR:
_____________________________
Supervisor’s Signature
______________________________
Print name
_______________
Date
By signing this form, I will be responsible for the hourly charge for using the requested equipment as
specified by the Center for Nanostructure Characterization within the date specified above. I am also
responsible for paying any damage to the equipment by my student/postdoc/scientist and myself; such a
cost is authorized to be directly charged to the above account.
Revised 05-08