Authorization Agreement for Use of the University of Michigan
North Campus Electron Microbeam Analysis Laboratory (NC EMAL)

The Project Director whose signature appears below, hereby acknowledges that the following researcher is authorized to use the instruments indicated in the North Campus EMAL. The time and materials consumed in using these instruments will be charged to the specified account.

EMAL equipment may not be used for any purpose without specific permission of the EMAL Staff.

Note: If training and/or research done in EMAL results in published works, please provide a copy or reprint for our files so that we may serve better in the future.

Authorized User Information:
User Name:

Reason(s) for EMAL Use:

In order for the EMAL staff to determine whcih instrument is optimal for your work, please describe the reason(s) for your need of EMAL facilities here. This description should not exceed 100 words and should indicate the nature, scope, and expected results of your research training.

Position:
Department:
Room and Building: Zip: 48109 -
Phone (office/lab):
E-mail address:
Signature:*
_________________________________


*Users should NOT sign this form until they have READ and UNDERSTOOD the User Handbooks(s) for the instruments they are going to use in EMAL. The handbooks contain important safety information.

By signing this document, users also agree to comply with the EMAL's rules and procedures and agree that any costs incurred that are not authorized by their advisor will be charged to the user personally.

Instruments to be used, check one or more:
JEOL 2010F TEM NanoIndenter
3011uhr JEOL TEM XPS / ESCA
Philips XL30 FEG SEM NOVA FIB
Digital Instruments AFM Darkroom ONLY
QUANTA 200 3D XPS Reactor
Director Information:
Name:
Department:
Room and Building: Zip: 48109 -
Phone:
E-mail address:
Signature and Date:
_________________________________
Account Information (M-Pathways chartfields):

*Convert shortcodes (6-digit account numbers) to M-Pathways chartfields at: http://www.mpathways.umich.edu/fin/chartfield.html *

Business Unit: Program:
Fund: Project Grant:
Dept. ID: Class:
Admin. Contact: e.g. Dept. accounts person
Admin. email:

This form should be filled out, printed, and signed. It can be dropped off or mailed to Kai Sun or John Mansfield (413 Space Research Bldg 2143) or brought with you to your first training session.