NSU Genomics Core Facility Sample Submission Form

NSU Genomics Core Facility Quote Request
Contact Information
Primary Contact

First NameLast Name
Primary Contact E-mail
Primary Contact Phone Number

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Principal Investigator

First NameLast Name
Principal Investigator E-mail
Principal Investigator Phone Number

Area CodePhone Number
Principal Investigator Address

Street Address

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Quote needed by:

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Index number to be charged:
Internal NSU customers only.
Is this project currently funded?
Is this for a grant submission? If so, please allow up to 2 weeks for processing.
Project Information
Please provide a brief description of your project, including experimental design, research goals, and relevant objectives.
What is the species of your sample? Select all that apply.

Other
How many samples are you submitting?
What type of samples are you submitting?
(e.g. Total RNA, DNA, etc.) Write NA if not applicable.
Are these samples low concentration/quantity?
Application
What services are you requesting? Please select all that apply.

Other
If requesting RNA-seq or small RNA-seq, please select your research objective.
If requesting next-generation sequencing, please select your read length.
If requesting next-generation sequencing, please select your sequencing run type.
If requesting NanoString, please select your assay type.
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NSU Genomics Core Facility Quote Request