Principal Investigator (PI)
To save and resume later scroll to the bottom of the form and select " Save and Resume" to receive a link to your application.
When using "Save and Resume" uploads will not be saved - Make sure to upload all documents before submitting your application.
If there is no Chair for this Department/Division - Please use the Name below and select the email at the bottom of the drop-down list:
Laura Hutchison - lhutchison@fgcu.edu
Note: The Application cannot be processed if the email address is incorrect.
Note: The Application cannot be processed if the email address is incorrect.
Co-Investigator(s) (Co-PI)
To save and resume later scroll to the bottom of the form and select " Save and Resume" to receive a link to your application.
When using "Save and Resume" uploads will not be saved - Make sure to upload all documents before submitting your application.
Co-Investigator(s) (Co-PI)
4 or More - Co-Investigators (Co-PIs)
Data File Must Include: Full Name and Email- For Each Co-PI
Student Participants or Involvement
If there is any student involvement upload a data file.
Data File Must Include: Full Name and Email of each Student
To save and resume later scroll to the bottom of the form and select " Save and Resume" to receive a link to your application.
When using "Save and Resume" uploads will not be saved - Make sure to upload all documents before submitting your application.
Collaborating Institutions
Data File for 3 or More - Collaborating Institutions
Data File Must Include:
Collaborating Institution’s Name - Full (mailing) Address - Protocol Name & Number (if applicable) – Attach a copy of the institutional letter of cooperation and approved protocol, if appropriate.- For Each Institution
Name & Mailing Address
Name & Mailing Address
Sponsored Funding
To save and resume later scroll to the bottom of the form and select " Save and Resume" to receive a link to your application.
When using "Save and Resume" uploads will not be saved - Make sure to upload all documents before submitting your application.
#2
1. Identify the Sample(s) you will be collecting.
To save and resume later scroll to the bottom of the form and select " Save and Resume" to receive a link to your application.
When using "Save and Resume" uploads will not be saved - Make sure to upload all documents before submitting your application.
2. Sample Collection
To save and resume later scroll to the bottom of the form and select " Save and Resume" to receive a link to your application.
When using "Save and Resume" uploads will not be saved - Make sure to upload all documents before submitting your application.
3. Transferring Samples from the Field to Campus
To save and resume later scroll to the bottom of the form and select " Save and Resume" to receive a link to your application.
When using "Save and Resume" uploads will not be saved - Make sure to upload all documents before submitting your application.
Purchased/Donated Sample(s)
To save and resume later scroll to the bottom of the form and select " Save and Resume" to receive a link to your application.
When using "Save and Resume" uploads will not be saved - Make sure to upload all documents before submitting your application.
Sample Storage
To save and resume later scroll to the bottom of the form and select " Save and Resume" to receive a link to your application.
When using "Save and Resume" uploads will not be saved - Make sure to upload all documents before submitting your application.
Shipping
To save and resume later scroll to the bottom of the form and select " Save and Resume" to receive a link to your application.
When using "Save and Resume" uploads will not be saved - Make sure to upload all documents before submitting your application.
Gas, Fuel, and Cryogenic Liquids
4 or More
The data File Must include all items below for each substance:
- Gas Name
- CAS, Vendor Name & Address
- Gas Class, concentration Quantity (cu. ft.)
- IDLJ (ppm)
- PEL (ppm)
- LD (ppm)
- Building/Site of storage (including room #)
- Physical Containment Equipment
- Dates (start & finish)
- What will it be used for
- Unique Hazards
- Emergency Response (exposure plan)
- PPE
- Additional safety Precautions
HAZARD CONTROLS for #1
Personal Protection Equipment & Laboratory Safety Controls:
Explain
HAZARD CONTROLS for #2
Personal Protection Equipment:
To save and resume later scroll to the bottom of the form and select " Save and Resume" to receive a link to your application.
When using "Save and Resume" uploads will not be saved - Make sure to upload all documents before submitting your application.
HAZARD CONTROLS for #3
Personal Protection Equipment:
To save and resume later scroll to the bottom of the form and select " Save and Resume" to receive a link to your application.
When using "Save and Resume" uploads will not be saved - Make sure to upload all documents before submitting your application.
Explain
Laser
4 or More
The data File Must include all items below for each laser:
- Laser Type
- Hazard Class
- Manufacture
- Model
- Continuous Wave
- Wavelength(s) (nm)
- Max. Op. Power (w)
- Avg. Op. Power (w)
- Max. Op. Energy (J)
- Pulse
- Wavelength(s) (nm)
- Duration (sec)
- Repetition Rate (Hz)
- Avg. Op. Power (J)
- Beam
- Shape
- Dimensions at Aperture (mm)
- Divergence
- Interlocks are (Fail-Safe or Defeatable)
- Type of Laser
- Use of each Laser
- Unique Hazards
- PPE
- Laboratory safety controls and Additional Safety Precautions
- Location Type, Building, and Room Number
The Authorized User for this project is:*
Radioactive Materials: Unsealed Source
4 or More
The data File Must contain the data below for each Source:
- Isotope
- Physical Form
- Max. Activity in Possession
- Max. Activity in any Experiment
- Physical containment Equipment
- Storage building/Site and Room #
- Use of Radioactive Material
- Unique Hazards
- PPE
- Laboratory safety Controls
- Methods to Measure Radiation Levels
- Protocol Managing Breakage and Clean-up
- Exposure Plan
HAZARD CONTROLS
Personal Protection Equipment:
* Required fields
To save and resume later scroll to the bottom of the form and Select " Save and Resume" to receive link to your application.
The Authorized User for this project is:*
Radioactive Materials: Sealed Source
4 or More
The data File Must contain the data below for each Source:
- Isotope
- Physical Form
- Max. Activity in Possession
- Max. Activity in any Experiment
- Physical containment Equipment
- Storage building/Site and Room #
- Use of Radioactive Material
- Unique Hazards
- PPE
- Laboratory safety Controls
- Methods to Measure Radiation Levels
- Protocol Managing Breakage and Clean-up
- Exposure Plan
HAZARD CONTROLS
Personal Protection Equipment:
To save and resume later scroll to the bottom of the form and select " Save and Resume" to receive a link to your application.
When using "Save and Resume" uploads will not be saved - Make sure to upload all documents before submitting your application.
Specify
Specify
If not the Applicant; Name of Authorized User for this project is:*
HAZARD CONTROLS
Personal Protection Equipment:
To save and resume later scroll to the bottom of the form and select " Save and Resume" to receive a link to your application.
When using "Save and Resume" uploads will not be saved - Make sure to upload all documents before submitting your application.
HAZARD CONTROLS
Personal Protection Equipment:
To save and resume later scroll to the bottom of the form and select " Save and Resume" to receive a link to your application.
When using "Save and Resume" uploads will not be saved - Make sure to upload all documents before submitting your application.