Faculty of Computer Science Lab Request Form



YOUR INFORMATION:

Please Completely fill out the form. Enter N/A if not applicable.

Last Name:First Name:
Student ID#:Bar Code#:
Email ID:Department:
Local Phone#:User Type:
Local Address:
Reason(s) for access:
Expected date when you will no longer need laboratory access: YYYY/MM/DD //

Sponsor's Name:

Laboratory(ies) requested (check to apply):

GC112 GC127a GD120 GD124a GE122 GE123
GE124 GE124a GE124b GE125 GE125a GE125b
GE131 GE134 GE135 GE135a GE135b GE136
GE138 H114 H117 H129 H212 H213
ITB205 ITB213 ITB214 ITB215 ITB216 ITB217
ITB222 ITB223 ITC314 ITC315 ITD414 ITD415
MASTER




INDEX

Note: Any questions can be addressed to Ivan Sears isears@unb.ca