NSU Shared Core Facilities Grant Support Request

NSU Shared Core Facilities Grant Support Request
Please submit your request for a customized letter of support 7 to 10 days prior to your preferred receipt date.
Principal Investigator Information
Principal Investigator *

First Name Last Name
Academic Title *
Title
E-mail Address *

Mailing address where letter should be addressed: *

Street Address
College and Department Affiliation
City	State
Zip Code	Country

Phone Number *

- Area Code Phone Number
Please indicate the name, academic title, and affiliation of all Co-PIs involved. *
Please type NA if not applicable.
Please list any specific formatting requirements. *
Please type NA if not applicable.
Needed by: *

- Month - Day Year
Date
Project Information
Provide the title of your grant, project, or program. *
Which Shared Core Facility will be used? Select all that apply. *

Flow Cytometry Genomics Imaging Vivarium Cell Therapy
Provide a brief description of your research objectives, including the applications and resources you intend to use in the Shared Core Facilities, and the specific problem, issue or question(s) you intend to address using this technology. *
This is a secure form.
Should be Empty:

Principal Investigator Information