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RARAF Experiment Scheduling Request Form

If you are using Internet Explorer please fill this version of the form and e-mail it to Yanping Xu

Month/Year:


Experiment No.:


Experiment Title:


Contact Person:


Phone:


E-mail:


PI:


Phone:


E-mail:


How many days?

Desired:


Acceptable:

State e days of the week preferred. Start with 1 for most preferred. If no preference write “none”

1.


2.


3.


4.

What date(s) are unacceptable?
Date:


Reason:


Date:


Reason:

What date(s) are preferred?

1.


2.


List any other time constraints:

Is 250 kV x-ray-machine to be used?


on day of / before / after main experiment from (time, a.m./p.m.)


to time, a.m./p.m.)

(x-ray dosimetry is not normally provided, unless specifically requested)


State specifics of experiments intended to be performed. For example, neutron energy and dose range; particle LET and dose range, microbeam specifications. Append extra page if necessary.




TO BE SIGNED BY THE P.I. OF THE EXPERIMENT FOR EVERY BEAM-TIME REQUEST
• I accept responsibility for ensuring that this experiment is conducted in a safe manner.
• If any results obtained using RARAF are included in a paper or abstract:

* I agree to explicitly acknowledge RARAF funding sources in all such papers/abstracts (see instructions)
* I agree to pass all such papers or abstracts by a member of the RARAF staff before submission, in order to check that references to RARAF are accurate (see instructions),
* I agree to send two reprints of any such abstracts or papers concerning RARAF to the RARAF staff (see instructions)

Date:


 



tel: (914) 591-9244
fax: (914) 591-9405
Radiological Research Accelerator Facility Nevis Laboratories
P.O. Box 21, 136 S. Broadway, Irvington, N.Y. 10533