Doc No: SCI-USO-DOC-0067.doc Issue: 6 Page: 1 of 3 User Office Electron Microscope Proposal Completed application should be emailed to useroffice@diamond.ac.uk Applications will only be processed from Registered applicants Experiment Title Proposal No Principal Investigator Name Principal Investigator Establishment Principal Investigator Email Alternate Contact Name (must provide) Alternate Contact Email (must provide) Please give reasons if more than 2 days are required If this work is sponsored by a research grant please specify the funding body iNEXT proposal no* (iNEXT proposals only) Brief Sample Information (Molecular weight, multimerisation state, type of grids) User Office to assign Brief Science Case (1000 words max) & key objectives (500 words max). Please note the proposal requires evidence of suitable cryo EM samples e.g. image. User Office Doc No: SCI-USO-DOC-0067.doc Issue: 6 Page: 2 of 3 *iNEXT is a H2020 funded project which provides funding for transnational access to EM facilities in Europe. Please see www.inext-eu.org for more details. The project commences 1/9/2015. Doc No: SCI-USO-DOC-0067.doc Issue: 6 Page: 3 of 3 User Office Select the science areas (please indicate one choice per column) Science Area Biology and Biomaterials Chemistry Energy Engineering Environment Materials Medicine Physics Technique Development Food Science Archaeological and Cultural Heritage 1 2 3