MRL Access Control Application

Notice to Applicants: Requesting rooms for which you have not met the pre-requisites will delay the approval process.
Requests typically take a few days to process but can take 7-10 days.

The system can take 30-60 seconds to process your request- please be patient and please do not submit duplicate requests.

You will be notified by email upon completion of your request.

Application Type: Add Access

First Name: Last Name: Card #: * ?

Don't have a card number?

Email Address Perm Number:

UCSB Advisor/Supervisor Information (External Industry Users can leave this blank)
First Name: Last Name: Email:

Affiliation (UCSB Department / Institute / Company)

Notice: Use of this card is for business purposes only. The issued access/identification card is the property of the University and must be returned upon demand. Suspected loss and or theft of the card must be reported to the MRL Department Access Controller as soon as practical.

Please choose EITHER Daytime Access or 24/7 Access.
You must talk to the Lab Manager before requesting 24/7 Access.
If you are denied, you will have to resubmit this form at a later date!
Please choose carefully!

√	Daytime Access Only (8am-5pm)

	1012 Xray Lab Daytime Access
	1013,1023,1033 TEMPO Facility Daytime Access
	1016 Cell Lab Daytime Access
	1024, 1032 Safinya Lab Daytime Access
	1043,1053 Polymer Lab Daytime Access
	1050 Energy Facility Daytime Access
	1052 DSC Daytime Access
	1056 Hawker Lab Daytime Access

√	24/7 Access
	2 MRL Outside Doors ONLY (no lab access requested)
	24/7 1012 X-Ray Lab
	24/7 1013,1023,1033 TEMPO Facility
	24/7 1016 Cell Lab
	24/7 1024, 1032 Safinya Lab
	24/7 1037/1055/1055 EXT TEMPO Low-Temp lab MPMS SQUID, Dynacool PPMS, Wirebonder
	24/7 1043,1053 Polymer Lab
	24/7 1050 Energy Facility
	24/7 1052 DSC
	24/7 1056 Hawker Lab

The MRL Access & Security Policy provides guidelines to control the access and the security needs for the Materials Research Laboratory at the University of California Santa Barbara.

Policy Statement:
1.  Open access to the building is available Monday – Friday between 7:30a.m. and 5:00p.m. (except designated UC holidays). 
2.  Electronic keys are issued to authorized users. These keys may only be used for that user’s access. Access privileges are non-transferrable. Unauthorized access will result in termination of the assigned user's access privilege.
3.  Special access provisions are available for visitors anticipating an extended stay at UCSB. Visitors should contact their hosts to initiate the process.
4.  Access is available to off-campus users of the MRL who demonstrate an appropriate need and have satisfied the campus’ liability and insurance requirements in addition to completing training specific to their needs.
5.  Security of the building and the resources contained within the MRL is essential to ensuring the integrity and safety of all work performed on site. Additional methods and procedures may be used in order to satisfy that security.

Contact:
Department Access Controller 
 Name: Sylvia Vogel 
 Phone: 805-893-7233  
 Email: sylvia@mrl.ucsb.edu

I have read and will abide by the MRL access policy stated above.

I hereby certify that the above information is true and correct.

I hereby agree to acknowledge the MRL Shared Experimental Facility by including the following on all publications based on work performed using the Facilities:
"The MRL Shared Experimental Facilities are supported by the MRSEC Program of the National Science Foundation under award NSF DMR 1720256; a member of the NSF-funded Materials Research Facilities Network”
and agree to report all publications to Sylvia Vogel ( sylvia@mrl.ucsb.edu ).

I have read the lab-specific Chemical Hygiene Plan (CHP) for the facility or facilities I’m requesting access to and documented it with the Technical Director.

* Version 1.0