ELECMI applications

Applicant

First Name*

Last Name*

Entity* (indication of the university/official research centre name/name of the company)

Country*

Phone

Email*

CIF / VAT Entity*

Address

PRINCIPAL INVESTIGATOR THAT SUPPORTS THE APPLICATION (PI*)

(*) The PI that supports this application should be the same person as the PI of the research project (see below) associated with this proposal. If this proposal is not related to a R&D project funded by a competitive call but is part of a R&D program from a company/institution interested in subcontracting ELECMI, the PI should be the responsible person of the RDI department of the applicant company.

ORCID Number

Website of the research group

Choose one of the two following options*

I am the project PI I am not the project PI - Please enter the PI data

First Name*

Last Name*

Name of institution*

Country*

Phone

Email*

Address

Information regarding funding sources of the applicant research project

Choose one of the two following options*

This work is part of a R&D project funded by a competitive call This work is not part of a R&D project funded by a competitive call but part of a R&D program from a company/institution interested in subcontracting ELECMI services

PROJECT DETAILS

Title of the funded project*
Project code or ref.*
Subject area*

Funding agency* Internal Regional National European Non-European International Private Others

SCIENTIFIC AND TECHNICAL IDENTIFICATION OF THE WORK TO BE CARRIED OUT IN ELECMI

Select the family or families of instrument/s requested in your proposal*

Transmission Electron Microscope

Dual Beam

Scanning Tunneling Microscope

Indicate the time of use that you demand in this application (in hours for all instruments and in days for the STM microscope)* (Max. 200 words)

If you have contacted already with any of the technicians or scientists in the ICTS, indicate the contact person

Observations (Max. 200 words)

Scientific proposal for the work to be developed in ELECMI

Has the PI of this application or your company got a previous successful proposal at ELECMI (applicable from 2014)?* No Yes

Title of the current proposal*

Acronym of the proposal*

Objectives and description of the proposal (Max. 200 words)*

Characteristics of the sample/s and number of samples (Max. 200 words)*

Indication of the need for the use of the advanced infrastructure (Max. 200 words)*

Potentiality of the proposal either in the academic or industrial fields (Max. 200 words)*

If you wish to add any figure or graph insert jpg or png files below (maximum 3 figures of 5 megabytes each). IMPORTANT: only jpg or png files are accepted, other file formats will not be considered.

Indicate if the sample or the experiments involve any potential dangerous risk to be considered* (Max. 200 words)

IMPORTANT

The user, once the experiment is finished, is strongly encouraged to complete a survey available at the website. A kind reminder email will be sent to the user for completion of this survey. In addition, the user will inform about any scientific or technological result derived from the use of the ICTS, and also about any dissemination made of the mentioned results. The user will have to name the ICTS at any dissemination. The ICTS will keep an updated register of the beneficiary users of the competitive open access and an historic of all the R&D actions (publications, patents, and others) associated to the accesses to the ICTS. This information will include the corresponding activity reports and will be available under request.

I hereby certify that the details on this application form are correct and I undertake to mention the use of ICTS ELECMI in all dissemination performed of scientific or technological results obtained as a result of this access. Also, I will include the use of ICTS in all the dissemination made. In this sense, I will use the following sentence or similar "Authors acknowledge node XXX of ICTS “ELECMI”

The user expressly consents to the processing of personal data in accordance with ELECMI Data Protection Policy Basic information on the processing of personal data is provided on the ELECMI WEBSITE. The data processed will not be transferred to third parties, except in case of legal obligation. At any time users may exercise the rights to access, rectify and delete the data, as well as other rights set forth in the additional information