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Department of Neurobiology and Behavior
Key/Card Access Request
PI Information:
PI/Requestor Name
*
PI/Requestor Email
*
Lab Affiliation
*
Please select the lab(s) you will be affiliated with, for which key/card access is being requested.
Adler Lab
Bass Lab
Deitcher Lab
Ellwood Lab
Emlen Lab
Fernandez-Ruiz Lab
Fetcho Lab
Goldberg Lab
Harris-Warrick Lab
Hopkins Lab
Hoy Lab
Linster Lab
Oliva Lab
Raguso Lab
Reeve Lab
Sandkam Lab
Seeley Lab
Shaw Lab
Sheehan Lab
Walcott Lab
Warden Lab
Webster Lab
Yapici Lab
Key(s) / Card Access Needed For:
Employee/Student Name
*
Employee/Student Email
*
Key(s) / Card Access Details:
Date needed
*
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Day
1
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31
Year
Year
2022
2023
2024
2025
2026
2027
2028
2029
Date of Potential Return
If known.
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Day
1
2
3
4
5
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27
28
29
30
31
Year
Year
2022
2023
2024
2025
2026
2027
2028
2029
Key(s) and/or Card Access
*
Select One
Key(s)
Card Access
Both Key(s) and Card Access
Requirements
*
Animal Room Requirements: The following 4 requirements MUST be completed through the IACUC and CARE websites BEFORE this request can be processed. To complete the trainings for Module 1 (online) and for Module 2 (in person), contact Stephanie Martin (sam265@cornell.edu). If any selections are NO, you will be contacted to complete your training before you will be granted access.
No
Yes
Currently on Protocol? (PI)
*
Currently on Protocol? (PI) - No
Currently on Protocol? (PI) - Yes
Health Risk Assessment Completed?
*
Health Risk Assessment Completed? - No
Health Risk Assessment Completed? - Yes
Completed Module 1 Training (online)?
*
Completed Module 1 Training (online)? - No
Completed Module 1 Training (online)? - Yes
Completed Module 2 Training (in person)
*
Completed Module 2 Training (in person) - No
Completed Module 2 Training (in person) - Yes
Building(s) and Room(s) to Access
*
Please be specific (example: Mudd, Comstock, Corson, Liddell, Weill).
Additional Information
Cornell Student ID #
*
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