University of Akron Personnel

Requestor Information
Last Name:
Empl ID:
First Name:
UANet ID:
Department:
Phone #:
Select a 4-digit Pin for swipe card
access.
Pin:
Position:
Advisor Information
N/A
Last Name:
NMR Account Request Form
First Name:
UANet ID:
Department:
Phone #:
Requestor's Signature
Date
Advisor's Signature
Date
www.chemistry.uakron.edu/magnet
[email protected]
By signing, the requestor agrees to abide by the NMR
Facility and The University of Akron's rules and regulations.
If not applicable is checked in advisor section, requestor
agrees to be responsible for the costs mentioned below.
By signing, the Advisor agrees to be responsible for the cost
of repair not covered by warranty or service agreements,
should there be any damage caused by the requestor.
ADMINISTRATIVE USE ONLY below this line.
Solid-State
Solution
User ID:
PID:
GID:
300 Gemini
300 Mercury
200 Chemag
200 INOVA
NMR IT Manager
Date
NMR Lab Manager (Solutions)
Date
NMR Lab Manager (Solids)
Date
400 INOVA
750 INOVA
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