1. Default Section

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1. Please complete the following information (Required.)

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2. Type of institution (check all that apply):

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3. What percent of the faculty and research support personnel at your institution use your facility annually?

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4. Does your facility charge for services provided?

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5. If your facility charges fees for services, are the fees subsidized?

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6. How many FTEs (full-time equivalents) work in your EM facility?

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7. Do you offer:

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