FORM - Agri-Food Discovery Place Entry Application [Laboratory and Storage Space]

Agri-Food Discovery Place Entry Application [Laboratory and Storage Space]
Entry Application for Research and Development at the University of Alberta's Agri-Food Discovery Place.
Client Information
Name
First Last
Company name or Speedcode (UofA only)
Department
Phone
Email
Legal / Billing Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Is your Shipping Address different than your Legal / Billing address?
- Yes
- No

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Number of applicant staff requiring access to AFDP
Names of applicants staff requiring access to AFDP
Please separate names with commas.
Will you be working outside normal AFDP hours 8:00am to 4:00pm
- Yes
- No
Occupational Health and Safety
All clients who will be working in AFDP are required to complete health and safety orientation and training prior to commencement of the project. Required training includes WHMIS, Laboratory Safety, Chemical Safety and/or Concepts in Biosafety, provided by the University of Alberta. Additional job specific training may be required.
Agreement and Signature
The Freedom of Information and Protection Act authorized the collection of personal information on this application as it will be used to contact the applicant in matters relating to application. If you have any questions about the collection or use of this information, contact Bob Rimes, Executive Director of AFDP, 780-492-6945.
By entering your name and date below, you state that the information you have entered on this form is correct.
Name (First and last)
Date
Date Format: MM slash DD slash YYYY
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Agri-Food Discovery Place Entry Application [Laboratory and Storage Space]