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Request Form for Special Laboratory Access

Lab Coordinator Responsibilities

Responsible Faculty:
Requester Phone:
E-Mail Address:
Course or Project:
Start Date:
End Date:
Reason for request:
I agree to the following

I have read and understand the School of Engineering Laboratory Policies for Students. I understand that the special access granted by this request does not allow me to unlock the facility or otherwise provide entry to anyone who is not authorized.

When submitting this form, it will go to Engineering Lab Request and the Lab Coordinator (view list).