Principal Investigator * (required)

Department and Institution (PI) * (required)

e-mail address (PI) * (required)

Current position * (required)

Address line 1

Town/ city and county

Postcode

phone number

Co-Investigator * (required)

Department and Institution (coI 1) * (required)

e-mail address (coI 1) * (required)

2nd Co-Investigator * (required)

Department and Institution (coI 2) * (required)

e-mail address (coI 2) * (required)

Project title * (required)

Total number of days requested: the user must ensure that this number is the same as that detailed in section 4 of the attached two-page proposal. * (required)

Project funding Specify any funding from an external source (e.g., research council, charity, EU, industry) for the described project. Specify the grant number(s), start and end dates, financial value, and if you are the PI or coI. State if the facility was mentioned in the grant application * (required)

List of sample including safety considerations Please indicate important information concerning the sample(s) (e.g., sample stability, sample sensitivity, sample handling and packing hazards, special equipment requested etc.) NB: A sample safety information form must be submitted at least one week before the allocated experimental time. * (required)

Proposal Maximum 2 pages; to be submitted in pdf (preferred) or Word format. * (required)

Attach file

Privacy notice

The submitted information will be stored and distributed electronically for the purpose of the time allocation procedure. Applicant statistics will be included in the reports the national management committee of the facility is required to submit to the funding agencies.

The University of Warwick is the Data Controller of any information you have entered on this form and is committed to protecting the rights of individuals in line with Data Protection Legislation. The University's Data Protection webpages provide further information on your rights and how the University processes personal data. Please submit any data subject rights requests to infocompliance@warwick.ac.uk or address any complaints or suspected breaches to the University's Data Protection Officer at DPO@warwick.ac.uk.