Request for Time

CMN Core Reservation Form

Fill in the information below to request time on CMN Core equipment. If you choose to use this form instead of signing yourself up using Google calendar you risk not getting your time slot. If someone uses Google calendar to sign-up prior to your request being processed, they will have first priority.

* First Name

* Last Name

* Department

* PI

* Fund Account Number for billing

* Email address

* Phone Number

* Equipment requested

* Date

* Start Time

*

* End Time

*

* Do you need assistance/training for this timeslot? (If yes, please email Pam at prwestmark@wisc.edu to confirm availability.)

Yes

No

If all or part of your requested timeslot is not available, do you want to be waitlisted?

No

Yes (please indicate phone number or email address for contact by user freeing up timeslot)

Special Instructions

* Indicates Response Required