Winship Shared Resource/Core Access Request Form

Please complete this form to request access to Winship shared resources/cores in access-controlled rooms.

As part of your request, please be prepared to download and review the Winship Facility Guidelines (link here). You will be required to sign and obtain signatures from your PI and the shared resource director to support your request. You will then need to scan and upload the completed document.

Click here for information about Winship shared resources/cores.

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* 1. Name

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* 2. PI

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* 3. Department

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* 4. Please select the Winship shared resource(s)/core(s) to which you are requesting access.

Integrated Cell Imaging (ICI)

Advanced Flow Cytometry Shared Resource (FLOW)

Cancer Animal Models Shared Resource (CAMS)

Winship Shared Equipment (WSE)

Other (please specify)

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* 5. Please select the building and floor to which you are requesting access.

Winship Clinic C / 4th floor

Winship Clinic C / 5th floor

Winship Clinic B / 4th floor

Other (please specify)

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* 6. Please select the type of access that you are requesting.

7am to 7pm access

24-hour access

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* 7. Please download and review the Winship Facilities Guidelines (link here). You will be required to complete the form and sign confirming that you will adhere to the guidelines. You will also be required to obtain signatures from your PI/Manager and the shared resource director to support your request.

After form is complete and all signatures are obtained, please upload the completed form.

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

Choose File