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Behavioral Research Lab Reservation Form
Please do not post any sessions for participant sign up until your request has been approved by the Behavioral Research Lab Manager and added to the lab schedule. If you have any questions, please contact the Lab Manager at
kogod_blab@american.edu
.
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* Indicates required question
Day One Requested
*
(mm/dd/yyyy)
Your answer
Time Requested
*
Your answer
Day Two Requested
(mm/dd/yyyy)
Your answer
Time Requested
Your answer
Day Three Requested
(mm/dd/yyyy)
Your answer
Time Requested
Your answer
Day Four Requested
(mm/dd/yyyy)
Your answer
Time Requested
Your answer
Day Five Requested
(mm/dd/yyyy)
Your answer
Time Requested
Your answer
Day Six Requested
(mm/dd/yyyy)
Your answer
Time Requested
Your answer
Day Seven Requested
(mm/dd/yyyy)
Your answer
Time Requested
Your answer
Day Eight Requested
(mm/dd/yyyy)
Your answer
Time Requested
Your answer
Day Nine Requested
(mm/dd/yyyy)
Your answer
Time Requested
Your answer
Day Ten Requested
(mm/dd/yyyy)
Your answer
Time Requested
Your answer
Principal Investigator 1
*
Name
Your answer
Principal Investigator 1
*
Department
Your answer
Principal Investigator 1
*
Phone Number
Your answer
Principal Investigator 1
*
E-mail
Your answer
Principal Investigator 2
Name
Your answer
Principal Investigator 2
Department
Your answer
Principal Investigator 2
E-mail
Your answer
Principal Investigator 3
Name
Your answer
Principal Investigator 3
Department
Your answer
Principal Investigator 3
E-mail
Your answer
Title of Project
*
Your answer
Special Equipment or Procedures Required
Your answer
Project Description
Please provide a brief description of the research and reasons why the lab facilities are needed to conduct this research.
Your answer
Have you received IRB approval for this study?
*
Yes
No
Please enter your IRB approval number here
Your answer
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