Technical information

10
Collaborator Name:
Campus Address:
Campus Phone / Email:
Home Address:
Home Phone / Email:
Advisor:
Advisor Address:
Advisor Phone / Email :
Expected Dates of Experiments and Lab Usage:
Date of AFM Training:
AFM Trainer:
Date of MFP Training:
MFP Trainer:
STUDENT SIGNATURE :
ADVISOR SIGNATURE :
ORTIZ SIGNATURE :
Thank you for your cooperation with this policy. It is intended to allow our group to keep
track of how our equipment is being used and to attempt to insure quality control on
equipment usage and safety procedures. You will be provided with a copy of the signed
form.
ORTIZ POLYMER MECHANICS LABORATORY
COLLABORATOR USER AGREEMENT FORM