McGill UNIVERSITY
Otto Maass Chemistry Building and Pulp & Paper Building
APPLICATION FOR LAB ACCESS
PLEASE PRINT
Family Name/Given Name
Position
_____________________________
ID Number
______________________________
Department
Email Address
Laboratory or Area
Laboratory or Area
Laboratory or Area
Laboratory or Area
Name of Departmental Supervisor
Signature of Departmental Supervisor
Date Access Issued
I acknowledge receipt of access to the above mentioned labs. I will not grant access to
unauthorized people to the above mentioned labs. I will advise the Departmental Office of my
departure from this/these lab(s).
Signature of Applicant
DEPARTMENTAL USE
Added to:
Key List ______
Lenel List ______
Removed from:
Key List _______
Lenel List _______