qCSI Project Request Form

Project request form for the users of the Quantitative Chemically-Specific Imaging Infrastructure for Material and Life Sciences (qCSI).

Personal information

First name

Last name

E-mail address

Affiliation (department, institute, company etc.)

Street address

Zip code and city

Country

	Yes	No
Have you used qCSI services before?

Selection of the service

Which instrument or service do you plan to use?

CARS/SRS imaging

SNOM imaging

Online data analysis

Not sure

CARS/SRS experiment details

Wished start date:

Estimated end date:

Describe the scientific background of your project briefly.

Attach experiment description (pdf):

Describe your samples (type, mounting, live/fixed, physical sample size, etc.).

What is the experimental question you wish to answer?

How are you planning to analyse the data?

User group

	Academic	Commercial
Are you requesting an academic project or commercial service?

CARS/SRS user group: Academic

Group leader name

Group leader e-mail address

Billing information ?

CARS/SRS user group: Commercial

Electronic billing address ?

Billing address ?

PO number ?

SNOM experiment details

Wished starting date:

Estimated duration:

What is the experimental question you wish to answer? ?

Attach experiment description (pdf):

Describe your samples: ?

Attach sample description (pdf, jpeg, tiff, png):

Do you need help in analyzing the data? Please, describe:

Attach analysis description (pdf):

User group

	Academic	Commercial
Are you requesting an academic project or commercial service?

SNOM user group: Academic

Academic user group ?

	Scientific collaboration	Assisted use	Independent use
Select the type of use:

SNOM user group: Academic - Scientific collaboration

Scientific collaboration with a University of Jyväskylä research group. Authorship in joint publications is required. Instrument usage is free of charge.

Group leader name

Group leader e-mail address

Collaboration group at JYU

E-mail address of the collaboration group leader

SNOM user group: Academic - Assisted use

Operator will do the imaging together with the client. Operator hourly fee + supplements will be charged according to usage. Acknowledgement required on possible publication.

Group leader name

Group leader e-mail address

Billing information

SNOM user group: Academic - Independent use

Only for experienced users. Usage is free, but supplements will be charged according to usage.

Group leader name

Group leader e-mail address

Online data analysis details

Wished starting date:

What is the experimental question you wish to answer? ?

Attach experiment description (pdf):

Describe your data set: ?

Attach sample description (pdf, jpeg, tiff, png):

Do you need help in analyzing the data? Please, describe:

Attach analysis description (pdf):

Experiment details

Please answer the following questions if you are not sure which instrument or service you need. We may be able to help in finding the right method.

What is the experimental question you wish to answer? ?

Attach experiment description (pdf):

Describe your samples: ?

Attach sample description (pdf, jpeg, tiff, png):

Do you need help in analyzing the data? Please, describe:

Attach analysis description (pdf):

Affirmation

I have read the qCSI access policy.

Partial submission

I wish to save the form and continue using the link that will be sent into email I give

Email address

qCSI Project Request Form

Personal information

Selection of the service

CARS/SRS experiment details

CARS/SRS user group: Academic

CARS/SRS user group: Commercial

SNOM experiment details

SNOM user group: Academic

SNOM user group: Academic - Scientific collaboration

SNOM user group: Academic - Assisted use

SNOM user group: Academic - Independent use

Online data analysis details

Experiment details

Affirmation

Partial submission

Proceed