病原发现与大数据平台培训申请 PDC_Application for training.docx

Pathogen Discovery & Computing Facility Training Application Form 病原发现与大数据平台培训申请 Application for Technological & Instrumental Training 一、基本信息 PartⅠGeneral Information 姓名 Name 隶属单位 Unit 所在部门 Department 身份信息 Identity P.I. Research Assistant Temporary staff Technician P.Doc Student Co-training Student Others: 联系电话 Contact Mobile: 电子邮箱 Email Office: 申请培训范围 Training Scope 半数组织细胞感染量测定 TCID50 细胞毒性实验 MTT 罗氏核酸自动抽提仪 Roche MagNA Pure LC 2.0 Instrument 安捷伦 2100 生物分析仪 Agilent 2100 Bioanalyzer Instrument 荧光定量 PCR 仪 qPCR System 二、相关工作经历调查 PartⅡ Related Working Experience Survey 1.是否通过生物安全实验室培训 Do you pass the BSL-2 training? 是 YES 否 NO 2.是否有细胞培养经验 Do you have experience in cell culture? 是 YES 否 NO 3.是否有病毒操作经验 Do you have operational experience in virus? 是 YES 否 NO 是 YES 否 NO 4.是否有精密仪器操作经验 Do you have operational experience of precise instrument? 三、签名栏 Part Ⅲ Signature 申请人 Applicant 日期 Date 研究组/部门负责人 Department Head 日期 Date *申请表需手写签名，无申请人或研究组/部门负责人签名的申请无效。 *The application will be invalid without signatures.