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Date Facility Requested. All requests must be submitted a minimum of two working days in advance.
Time(s) Facility Requested Please enter only the beginning time for each requested slot (e.g., 1 PM, 2 PM, 3 PM, 4 PM) If you would like more than 1 hour, list the beginning times only for each hour. (e.g., if you want to use it from 1pm to 4pm, enter 1pm, 2pm, and 3pm.)
Resource Requested: 3T Scanner MRI Simulator Behavioral Testing Room
Prinicipal Investigator (PI)
Title of Study
Your Name
Your e-mail
Comments/Additional Instructions
