Request for Access to Shared Facilities – Photonics Center

Please complete this form to request access to the shared facilities at the Photonics Center. Your request will be reviewed by BUPC staff and you will be notified of the decision. All fields marked with an asterisk (*) are required.

1.) Company Information

Company Name(Required)

Website(Required)

Company Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Primary Contact Name(Required)

First Last

Primary Contact Email(Required)

Primary Contact Phone(Required)

2.) Project Details

Project Title(Required)

Brief Description of Research Objectives(Required)

Please provide a concise summary of your research objectives and how the facilities will support your project.

Intended Use of Facilities(Required)

Describe the specific activities you plan to carry out and the equipment or resources required.

Estimated Project Duration(Required)

3.) Facility Requirements

Specific Facilities/Equipment Needed(Required)

List the laboratories, equipment, or resources you intend to use.

Materials to be Used(Required)

List any possible hazardous or exotic materials you intend to use

Special Requirements or Assistance Needed

If applicable, describe any unique requirements or technical support needed.

4.) Compliance and Agreement

Acknowledgment(Required)

I confirm that the requested use of the facilities is strictly for research purposes and not for the production of goods for commercial sale.

5.) Submission

Upload Supporting Documents (Optional)

Max. file size: 100 MB.

(E.g., project proposals, safety plans, etc.

6.) Declaration

Acknowledgement(Required)

I certify that the information provided in this form is accurate to the best of my knowledge.