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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 useres of the Micro and Nanotechnology Laboratory as a convenient means of requesting a keycard for access to the laboratory. You will be notified when you can pick up your key card.

First Name*
 M.I.
Last Name*
Principal Investigator*
 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