Pre-Clinical Imaging Research Project Application Form

Before submitting a new project, please read the respective infrastructure usage fees and access policies at this link.
Thank you for your interest in contributing to the CIBM community.

Agreement

I have read the facility/infrastructure access policy and guidelines and I understand the fee structure associated to this project application.

Principal Investigator information

Principal Investigator first name

Principal Investigator last name

PI's E-mail

PI's phone number

Institution Institution

Laboratory/Unit

If Applicant is not PI

Applicant first name

Applicant last name

Applicant's E-mail

Applicant's phone number

Resource information

Please select resources requested

9.4T MRI, EPFL AIT

14.1T MRI, EPFL AIT

PET, EPFL AIT

PET, HUG PIPPA

Number of hours (9.4T MRI, EPFL AIT)

Number of hours (14.1T MRI, EPFL AIT)

Number of hours (PET, EPFL AIT)

Number of hours (PET, HUG PIPPA)

Project Information

Ethics information

Project description

Billing

Account number (if known)

Billing address of the PI

City

State/Province

Zip/Postal

Country

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If you are human, leave this field blank.

Principal Investigator information

Resource information

Project Information plus4 minus4

Ethics information plus4 minus4

Project description plus4 minus4

Special requirements and services plus4 minus4

Billing plus4 minus4

Project Information

Ethics information

Project description

Special requirements and services

Billing