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Micro and Nanotechnology Laboratory | U of I

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CONTACT US

 

Micro and Nanotechnology Laboratory
208 North Wright Street Urbana, Illinois 61801

 

Office hours 8:30a - 5:00p

 

Phone: 217-333-3097
Fax: 217-244-6375
email: mntl@illinois.edu

facilities

Keycard Request Form

Micro and Nanotechnology Laboratory
Keycard Request/Change Form

The following form is provided to users of the Micro and Nanotechnology Laboratory as a convenient means of requesting a keycard for access to the laboratory. You can also get a printed copy at the MNTL Business Office. After you take the Building Safety Training you can stop in the business office to pick up a proximity i-card form, which is $8.50.


Select Training Date*
First Name*
M.I.
Last Name*
Principal Investigator*
PI Email*
Department/Organization*
Expiration Date*
E-mail*
University ID Number (UIUC only)
UIUC Network ID (UIUC only)
BANNER Account Name*
provided by P.I.
BANNER Account Number*
provided by P.I.
1----

If you have an existing keycard from BI, MRL, or CSL, please enter the
card number below


Work Information

Building and Room Number*
Street*
City*
State*
Zip*

Work Phone*

Permanent Home Address

Street*

City*
State*
Zip*

Home Phone*


For UIUC Personnel Only*
Faculty
Academic Professional
Staff
Postdoc
Graduate Student
Undergraduate Student
Other

Other Labortory Users*
Industry
Other University
Government Lab

Request the following access*
Building Entrance
Cleanroom Suite
BioLab

*required items