SickKids-UHN FMCF User Registration Form – Non-Academic ... · therefore must provide a valid UHN...

SickKids-UHN FMCF User Registration Form – Non-Academic Users Account Information

• We require institutional email addresses for all PI's and Users - hotmail/gmailaccounts are not valid.

• Investigators must provide documentation that they have Institutional Biosafetyapproval for use of any biohazardous agents that will be brought into our facility andtherefore must provide a valid UHN Research Biosafety Certificate. This certificatemust cover all work being conducted in the FCF facility. Please contact UHNBiosafety (biosafety@uhnresearch.ca) to obtain more information on how to obtain aUHN Research Biosafety Certificate.

• Please email completed forms and an electronic copy of your UHN ResearchBiosafety Certificate to the FCF manager Sherry Zhao (from PI's institutional emailaccount) to: “sheyun.zhao@sickkids.ca”

PI Last Name

PI First Name

PI Phone

PI Email

Administrator Email

Administrator Phone

Mailing Address for Invoices Room/Building Street City, Province Postal Code

Lab Members Approved to Use this Account for FMCF Services: User Last Name User First Name User Lab Phone User Email

e.g. Smith John 416-123-4567 John.smith@sickkids.ca

UHN Research Biosafety Certificate#

All users listed have read and agree to abide by all Policies and Procedures of the SickKids-UHN Flow and Mass Cytometry Facility which can be viewed on our website (http://www.sickkids.ca/research/FCF/)