Scanning Electron Microscope Request Form
Please use this form to request time to use the SEM at the MIT Museum. Time will be provided in 1 hour time slots for groups of up to 12 students and adults in grades 6+. An MIT Museum instructor will be present to teach students about the microscope, how to prepare samples, and to help aid them in their use of the instrument.
Group Leader Name *
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Group Leader Email *
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Group Leader Phone Number *
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School/Organization Name *
Your answer
Student Grade *
Number of students *
Your answer
Number of chaperones *
Your answer
First Choice Date *
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Second Choice Date *
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First Choice Time *
Time
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Second Choice Time *
Time
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Please describe the experiment that your students wish to run on the SEM. Please include a list of all samples to be viewed and the question the students wish to answer. ***Note: we are unable to place liquids or glass into the microscope*** *
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