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Project Form - FEI Titan Krios Cryo-STEM

Facility for Electron Microscopy Research
McGill University, 3640 University Street, Montréal, QC H3A 0C7
Telephone: 514.398.6329; Facsimile: 514.398.5047; E-mail: kelly.sears [at] mcgill.ca
APPLICATION FORM FOR CRYO-ELECTRON MICROSCOPY

MUST BE SUBMITTED AND APPROVED BEFORE PERFORMING THE WORK

ONLY ONE APPLICATION WILL BE ADDED TO THE WAITING LIST
www.mcgill.ca/femr/user-access/waiting-lists/project-waiting-list-titan-...

DO NOT SUBMIT THE APPLICATION UNTIL YOU AND YOUR TEM GRIDS ARE READY FOR DATA COLLECTION

PRESCREEN ONE GRID ON THE TECNAI G2 F20 CRYO-TEM

Fields with an * are required.

Date: *

Month

Day

Year

First Name: *

Last Name: *

Status (M.Sc., Ph.D., PDF, etc.): *

Institution: *

Department: *

Address: *

Telephone Number: *

Mobile Number:

Email Address: *

Name of Supervisor (If Applicable): *

Supervisor's Telephone Number: *

Supervisor's Email Address: *

Type of Project (Screening or Data Collection): *

Justify the Screening Day Request on Krios:

Estimated Number of Days Required for your Project? *

Title of Project: *

Brief Description of Project: *

Brief Sample Information (e.g., Molecular Weight, Multimerization State, etc.): *

Required Specimen Preparation: *

FEI Vitrobot MkIV

Biohazardous? If Yes, Please Specify: *

Attach Copy of McGill Application to Use Biohazardous Materials (https://www.mcgill.ca/ehs/files/ehs/ehs-form-014_v2.1_biohazards_application_form_1.pdf):

Application to Use Biohazardous Materials
Files must be less than 2 MB.
Allowed file types: txt pdf doc docx.

EHS Permit # for Handling Biohazardous Materials:

Number of Samples to Image (if >1, submit a separate form for each): *

Are Your TEM Grids Ready to be Loaded (Yes/No): *

Number of Grids Expected to be Loaded: *

Type of Grid (No Mixed Grids): *

Methods (Single Particle Analysis/Tomography/Phase Plate): *

Resolution Target: *

Briefly Describe Supporting Information: *

Are the Images from the Grids to be Submitted?: *

Negative Stain 2-D Image:

Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png bmp tif txt pdf doc ppt pptx rar zip.

Full Cryo-EM Grid Map by SerialEM: *

Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png bmp tif txt pdf doc docx ppt pptx.

Cryo-TEM 2-D Image:

Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png bmp tif txt pdf doc docx ppt pptx rar tar zip.

3-D Model:

Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png bmp tif pdf doc docx ppt avi mov mp3 rar tar zip.

Is Current Research Funding Level >$100,000?:

Yes

FOAPAL Number or P.O. Number: *

Leave this field blank

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Project Form - FEI Titan Krios Cryo-STEM

Department and University Information

Facility for Electron Microscopy Research