Bioanalyzer Service Request Form » Microarray and Sequencing Resource

Please use this form if you are submitting samples for QC ONLY. Do not submit this form if you would like the BUMSR Core to perform any other service such as library preparation or sequencing in addition to QC

Submitter Name*

First Last

Submitter Email*

Affiliation*

Telephone Number*

Fax Number*

Department*

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

P.I. Name*

First Last

P. I. Email*

Do you have a BU Grant Account Number?*

If you do not have an grant number yet, please email the MSR Core at MSRLab@bu.edu as soon as you receive one. The service will not be provided until the Core receives the account number.

Grant Account Number*

Invoice Number*

If you are an non-BU investigator, please indicate your invoice number or "Invoice Pending."

Grant Administrator Name

First Last

Grant Administrator Email

DNA/ RNA Quality & Quantity Determination

Please Note: All samples submitted for QC analysis are by default quantified by Nanodrop before proceeding to Bioanalyzer

Species of Samples To Be Submitted*

Human
Mouse
Other

"Other" Species*

QC Assay to Be Run*

RNA Bioanalyzer
DNA Bioanalyzer

How did you isolate your RNA?*

Please indicate the exact name of the RNA Isolation Kit you used to prepare your samples. If you did not use a kit, please specify your process and place additional details in the notes of this form.

Type of DNA*

Please indicate the type of DNA you would like assayed on the bioanalyzer (e.g. sequencing library). The bioanalyzer assay DOES NOT accommodate Whole Genomic DNA.

Number of Samples for QC*

Quantity & Quality Sample Submission Information

If you have an excel/ word/ text file with information on the names, volumes, and concentrations of your samples, please attach the file here. Be sure to include at minimum the sample names and volumes, even if you have yet to determine the concentrations.

Name & Concentration (ng/uL) of Samples

Please list at minimum the sample names and volumes here. If you do not know the concentration of your samples, please indicate "TBD."

Name	Volume	Concentration

Final Notes

Please include any additional notes below.

Name

This field is for validation purposes and should be left unchanged.

BUMSR Core Bioanalyzer Service Request

Please use this form if you are submitting samples for QC ONLY. Do not submit this form if you would like the BUMSR Core to perform any other service such as library preparation or sequencing in addition to QC

DNA/ RNA Quality & Quantity Determination