2018-2019 School Year Mobile Lab Request

Please complete all areas of the form for the lab(s) being requested. If not requesting a lab, please leave blank. Once received YNS will be in contact via email for shipment dates and details.  
Teacher Information
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used as the primary communication method
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(1) pGLO Mobile Lab Request
Used to send appropriate supply amount
pGLO equipment needed:



Please select only the equipment you need
pGLO consumables needed:







Please select only the consumables you need
(2) Restriction Enzyme Digestion and Analysis of Lambda DNA Mobile Lab Request
Used to send appropriate supply amount
Restriction Digest & Lambda DNA equipment needed:





Please select only the equipment you need
Restriction Digest & Lambda DNA Consumables needed:







Please select only the consumables you need
(3) PCR: Alu Insert on locus PV92 Chromosome 16 Mobile Lab Request
Used to send appropriate supply amount
PCR equipment needed:






Please select only the equipment you need
PCR consumables needed:






Please select only the consumables you need
Demographics: Overall total of students participating in lab(s) selected?

Used for reporting purposes

Add all of the students participating in the labs
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Mobile Lab Information
Have you ever used Nebraska EPSCoR Mobile Labs in the past?

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