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Sorting request form
This form should include all information necessary for preparation for usage of the cell sorter
* Indicates required question
Email
*
Record my email address with my response
Primary Investigator and Researcher name
*
Your answer
Intended Day of Sort
*
MM
/
DD
/
YYYY
Start time:
*
Time
:
AM
PM
End time:
*
Time
:
AM
PM
Nozzle size:
*
70 micron
85 micron
100 micron
Assisted or Unassisted?
*
Assisted
Unassisted
Sterile vs. non-sterile?
*
Sterile
Non-sterile
How many samples will there be?
*
Your answer
What is the origin of the sample(s)?
*
Mouse
Human
Other:
How many animals does each sample consist of?
*
N/A
1-2
3-4
Other:
Has the sample type been run on the sorter before?
*
Yes, there is a sorter profile available on the software.
No, additional prep with compensation is required.
Maybe
Other:
If previously run and profile was saved to the software, what is the profile? (i.e. sample type, markers, and colors)
*
Your answer
Is the sample infectious or hazardous in any way?
*
Yes
No
Please specify what the infectious/hazardous material is, and IBC approval number:
*
Your answer
Other notes:
*
Your answer
Send me a copy of my responses.
Submit
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