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Access Request
Full Name
Your full name as appears on UO ID.
UO ID Number
Status
Please indicate your role in the center.
Graduate Student
Undergraduate Research Assistant
Post Doc or Research Associate
Tenure-Track Faculty Member
Associate Member
Email
Advisor/Authorizer
Space access must be authorized by an advisor/PI/space manager. Please indicate who will approve your access to the spaces requested.
Access Requested
Outer Doors After Hours (Willamette & Klamath Halls)
OMQ Spaces (240 & 240D)
34 Allcock/Wineland Lab
44 Smith Lab
61B Smith Lab
155 Smith Lab
242 Raymer Lab
255 McMorran Lab
256 Steck Lab
272 Steck Lab
273 Wang Lab
Other/Key - include in notes
Proximity Access Number
Alphanumeric code located on ID card
Copier Code
Are you requesting a code to the OMQ printer/copier?
- None -
Yes, I am requesting a code to use the OMQ copier/printer
No, I already have a code
No, I do not need a code
Notes
Additional information needed such as any doors requiring physical keys.