Ref No: (Office Use Only) Application to use the Bristol Centre for NSQI Note: for short/student projects see footnotes An electronic version of this application form can be downloaded from the web at: http://www.bristol.ac.uk/nsqi-centre.html Please fill in all fields Project Title: Date: Applicant Contact Details Name: Department: e-mail: Title: Position: Tel No: Address Proposed Start Date: Proposed End Date: Other Staff Involved in the Project (and affiliations) NS&QI – Centre Application 1 of 3 Project Outline - 5 key words and a brief scientific description, preferably 200 words or less (or abstract from a grant proposal) Key words: Outline: Why is the NSQI centre the best place for your project? (50 words) Physical environment (be specific)/equipment/people/others: What are the anticipated outcomes of this work? (50 words) Current Status of Project (specify date) (please delete) Grant Applied for / Grant Approved / Other: Centre Resources and Requirements Number of PhD Students: RAs: Visitors: Others: People to be housed in the building? Number and types of Laboratory required (see website for description of facilities): Is Office space required? Yes / No (please delete) If Yes for how many people? NS&QI – Centre Application 2 of 3 Please give details of equipment, if any, you plan to bring into the building (and plans for the equipment at end of the project). Please give details of any specialised resources required (other than standard laboratory and office equipment). Health & Safety section - mandatory Supervision of Students and Visitors – describe how students or visitors will be supervised in each laboratory area, including details of the responsible supervisor working in each laboratory Please state the Health & Safety requirements that apply to your project (attach safety sheets if applicable). Information for applicants wishing to carry out undertake short projects (e.g. visitors/summer students, PhD, MSc/BSc projects) Short project requests will be considered where: 1) an existing approved Project or Experimental set-up is already working in NSQI 2) adequate academic supervision is in place Prior approval should always be obtained before making a commitment of NSQI resources to anyone, including students or visitors. An ‘Additional User Form’ must be submitted to add a person onto an existing project. Once completed you can submit this form by: e-mail to: Fred.Hale@bristol.ac.uk post to: Fred Hale Centre for Nanoscience and Quantum Information Tyndall Avenue Bristol BS8 1FD NS&QI – Centre Application 3 of 3