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CvSU MANUAL OF OPERATIONS
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Research Lab Form No. 1b
Request form for the use of laboratory facilities
(For Non-university personnel; faculty members, staff and students)
Request Number: _____________________
Date Requested: ______________________
Name of Faculty/Staff/Student: _________________________________
School/Agency: _________________________________________________
Inclusive Dates of Use: __________________________________________
Request:
____ Use of laboratory room _____ Use of equipment
____ Use of glassware/s _____ others, please
specify__________
Details/Specifications of Request:
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________
Recommending Approval:
________________________
________________________
Department Chairman Director for Research
Approved:
________________________
________________________
VP, RECETS University
President
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