Request access or a role change in ChemManager+.
Please complete the following form to request access or a role change in ChemManager+. The ChemManager+ team will make an SFS request on your behalf using the information you provide in this form. 
Sign in to Google to save your progress. Learn more
First (given) name *
Last (family) name *
What is your wisc.edu email address? *
What is your unit? *
Please tell us the School/College/Institute/Division/Department.
What is your primary location? *
Please tell us the building name and room number of your primary lab.
Who is the PI or lab director for the lab? *
What role should we assign for you? *
Captionless Image
Is there anything else you would like to share?
If you chose the "match me" option in the previous question, add the name below.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of UW-Madison Google Workspace. Report Abuse