Prototyping Lab - Machine and Specialized Room Access Form

Complete this form to request access to machines or specialized rooms such as the Machine Shop (MS), the Wet Etch Lab (WEL), or the Laser Cutter Room (LCR). You also need to be an authorized user of the Prototyping Facility, which gives you access to the Design and Assembly Space (DAS).

Full Name

This is a required question

Official email address

This is a required question

Student or employee PID

(for non-UCSD, please write "external")

This is a required question

Home department

(for non-UCSD, please write your company name or "personal")

This is a required question

UCSD status (undergraduate/graduate/ postdoc/scientist/faculty/staff/…)

(for non-UCSD, please write your company title or "individual")

This is a required question

Are you on the QI payroll?

This is a required question

Charge index

(index number to charge to; if unavailable, write "unknown")

This is a required question

Requested start date

Requested end date

Access Hours

(default is Regular Business Hours; check Definitions tab for more info)

Regular Business Hours
Extended Business Hours
24/7

This is a required question

Spaces you request access to

Machine Shop
Wet Etch Lab
Laser Cutter Room

This is a required question

Machines you request access to

This is a required question

Briefly describe why you are requesting access to these rooms/machines.

(include an explanation of the access hours requested if they are not Regular Business Hours)

Must be at least 10 characters.

This is a required question

By submitting this form, you agree to that you will comply with the prototyping lab User Agreement, including the Policies and Procedures and the general and machine specific safety guidelines. However, submission of this form by does not grant you the right to access the facilities or use the machines. You are not allowed to use any machine before having received explicit approval from us.