Request Form | Metabolomics Core Facility | The Huck Institutes (en-US)

First Name *

Last Name *

Email *

Phone Number

PI Name *

Description of Project

Budget/Fund Number *

Sample Type *

(e.g. blood, plasma, serum, tissue, urine, feces, etc.)

IBC Protocol # (Required field if biological materials/agents are involved)

IBC Protocol Expiration Date (Required field if biological materials/agents are involved)

Specify biological materials and agents e.g., specify species, bacterial strain, cell line, etc. (Required field if biological materials/agents are involved)

Do you want your samples run in a particular order or randomized?

In Order

Randomized

Please Specify Run Order

Do you require the core's assistance preparing your samples?

Yes

Other Special Instructions

Project Name *

Number of Samples *

Number of Standards and Controls *

Total Number of Tubes *

Should these samples be returned or disposed of after running? *

Returned

Disposed

I agree to the Metabolomics Core Facility policies and procedures outlined under “Get Started - Policies and Procedures” *

I agree

I agree to the Acknowledgment and Co-authorship requirements for using a Huck core facility outlined under “Get Started – Acknowledgment and Co-authorship” *

I agree