SCOPE Microscopy Sample Submission Form

Name *

Email Address *

Lab/PI

Organization *

Speed Type (if UMass User)

Planned Imaging Start Date *

Please describe your samples (number of samples, cells or tissue, fixed or live, stains and probes, what controls are included, mounting fluid, sample format - slides with coverslips, dishes, etc.) *

Select how samples should be stored (if applicable) Room Temperature 4C -20C -80C

Please describe the desired images (magnifications requested, size of smallest object to be image, number of images per sample, if time lapse or z-stacks are required, how images will be analyzed, etc.) *

If these samples are to be imaged on a specific instrument in the SCOPE (i.e. Leica SP8 Confocal), list the instrument here. If no instrument is specified, the SCOPE will be in contact to discuss potential instruments. *

Does the imaging request include sample preparation? If so, please describe or attach the planned protocol for sample preparation. If sample preparation is required but the exact protocol is unknown, the SCOPE will be in contact to discuss potential protocols. *

Upload a PDF of the desired sample preparation protocol here (if applicable)

Does the imaging request include image analysis? If so, please describe the desired image quantification and output data. *

If the imaging request includes image analysis, select how this analysis will be run. SCOPE develops and runs analysis pipelines SCOPE develops analysis pipelines and user runs them

Note any other relevant information you would like us to know about this imaging request.

Do you wish to be present virtually for the imaging session? * Yes No

Do you wish to approve trial images before the imaging is completed? * Yes No

Select a data transfer method * WeTransfer DropBox Other (contact SCOPE@umassmed.edu)

FOR EXTERNAL USERS ONLY: By clicking this button, I confirm that I have an approved Biosafety Form on file with the SCOPE for this sample type. The Biosafety Form can be downloaded from the Forms and Resources page on the SCOPE website (https://www.umassmed.edu/scope/forms-and-resources/) Yes

The SCOPE images samples as received. We will work with users to obtain the best images possible given the submitted sample quality. Dirt, fibers, air bubbles, non-flat tissue, and other sample quality issues will result in poor images. By using the SCOPE imaging service, users agree to pay all imaging fees, regardless of resulting image quality. * Yes