Card Access Request Form Card Access Request Form Name * Name First First Last Last uNID * Email * Department * Supervisor/PI * Supervisor/PI Email * Access Requirements What kind of work will you be doing in the Crus Center? Select all that apply. * Crus Scholar Dr. Mohanty's Group Dr. Fang's Group Recharge Center/Characterization Equipment Other If 'Other' please describe * What access permissions will you need? * 9am - 5pm on weekdaysAll-hours (evenings, early mornings, weekends) When do you expect to be done needing access to the Crus Center? * Example: January 2027 How frequently will you be in the Crus Center? * Example: 2 times/month All-hours Access Requirements Access to the Crus Center outside of business hours requires two additional safety training steps. 1. Proof of a general lab safety course taken within the last year. This is most often the course "Chemical Hygiene" from the University's Bridge system. 2. An in-person meeting with lab staff to teach the safety supplies and considerations specific to the Crus Center. Upon receipt of your safety certificate through this form, staff will reach out to you via email to schedule that. Upload your lab safety certificate here Drop a file here or click to upload Choose File Maximum file size: 2MB The certificate should contain (1) your name, (2) the name of the course, (3) the date you completed the course. Recharge Center Use Which Equipment will you be using? Check all that apply SEM - Hitachi S-4800 XRD – Rigaku MiniFlex 600 DSC/TGA – TA Instruments Q600 Sorption analyzer – Micromeritics ASAP 2020 (BET) UV-Vis - Shimadzu EKA – Anton Paar SurPASS 3 XRF – Thermo Fishe Have you already been trained with one of the lab staff on the instrument(s) you’ll be using? Yes No Please confirm the statement: I have started a Work Authorization Form. Yes No If you haven't started a Work Authorization Form, please do so now at https://workauth.cores.utah.edu/#/oncampus If you are human, leave this field blank. Submit Δ
