Download Leeds FBS Protein Production Facility Project Request Form

Facility use only
Project ID:
Planning meeting:
Leeds FBS Protein Production Facility Project Request Form
Section 1: Personal details
Name:
E-mail:
Phone/ext:
PI name:
Position:
Faculty:
School:
Date:
Section 2: Sample/project information
Please expand the boxes below as necessary.
Q1) Please provide a short synopsis of the project, including a project title, as well as a
description of the cloning/expression you would like us to undertake
Note: we may ask for additional information, but the details you write here will inform us for
the initial planning of your project.
Q2) Please provide the gene/protein name(s) and organism.
Q3) Are there any Health & Safety concerns with your project? e.g. expressed protein or a byproduct is toxic, specific chemicals are required in the production process, pathogenic
organisms used in the process.
Q4) Does the cloning and expression required in this project generate a Genetically Modified
Organism (e.g. recombinant expression)? Yes/No (delete as appropriate).
Have you received approval from a GM Safety Committee for this project? Yes/No (delete as
appropriate). Note: further details will be required before the project commences
By beginning a project you agree to be bound by our conditions of service, which can be found
at: www.fbs.leeds.ac.uk/facilities/protein/Conditionsofservice.php
Forms should be returned to Dr Brian Jackson, [email protected], Astbury 9.108f.
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Updated May 2017, Dr Brian Jackson, PPF Facility Manager