MicroCT Initial Request form

The USU MicroCT Facility provides x-ray micro-computed tomography services for the university community and others. A Nikon XT H 225 ST MRA Dual Target microCT scanner and two reconstruction workstations outfitted with Volume Graphics Studio software permit nondestructive high-resolution imaging of the surface and interior structure of 3D objects, as well as advanced visualization and quantitative analysis of structure.

Please complete the following form to request use of the USU MicroCT facility. Once this form has been submitted for approval, you may request time on the machine using this MicroCT Scheduling Form (for your first scanning session and all sessions thereafter). 

For questions, email microCT@usu.edu

Sign in to Google to save your progress. Learn more
Your name (first & last):  *
Your A# (if external, type "N/A"): *
Your college and department (e.g., College of Science, Biology Department): *
Role at USU (if not enrolled at/employed by USU, select "external user"): *
If you indicated that you are a student (undergraduate OR graduate), please provide the name of your research advisor or PI:
Your university email (e.g., jane.doe@usu.edu): *
If you indicated that you are a student (undergraduate OR graduate), please provide the email for your research advisor/PI:
Phone number (mobile phone number preferred): *
Description of intended use: *
Number of specimens/samples: *
Type of material (e.g., bone, soft tissue, metal, geological, archaeological, etc.) *
Estimated time per scan (if known)  *
Please select one of the following initial rate categories. Note that you are considered an "untrained" user until you have satisfactorily demonstrated basic skills and have performed 3+ hours of technician-supervised use of the scanner and reconstruction software (trained users will have their user status updated by facility staff): *
Please check this box to acknowledge that you will adhere to all policies and procedures set forth by the USU MicroCT facility. *
Required
If you are a student (undergraduate or graduate), please check this box to verify that your advisor/PI has approved your request to use this facility and has agreed to be responsible for instrument fees (if not a student, select "N/A"). *
Required
Please check this box to acknowledge that: (1) you are responsible for removing your data from the CT Data Drive of the Recon PC in a timely manner; and (2) that after a period of 1 week following your use of the facility any data remaining on local storage will be deleted (unless other arrangements have been made with facility personnel). 
Please check this box to acknowledge that you (or your advisor/PI, if student) are responsible for paying all required facility usage rates, as set by the College of Science: *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy