Request For Training Form

Complete this form and return it to the NMR Facility or email the information below to the facility manager. Email requests must be submitted with an emailed approval from the responsible PI. You are STRONGLY encouraged NOT to start training until you plan to routinely use the spectrometers for research.

Name (print): ________________________________ E-mail: ____________________________

Phone: ______________________________________ Date: ______________________________

Supervisor: __________________________________ Account #: _________________________

Status (check one): ___ Undergraduate Student

                                 ___ Graduate Student

                                 ___ Postdoc

                                 ___ Faculty/Staff

Faculty Approval:

Signature: ___________________________________ Date: ______________________________




For NMR Facility Use Only

User Name: __________________________

User ID #: __________________________

Temporary Password: __________________________


The NMR Facility Manager can be reached at shirazi@chem.ucsb.edu