UOW Science, Medicine and Health - Laboratory Hire Application

Section 1: Laboratory Hire Details
Laboratory

Laboratory Anatomy Lab Biomechanics Lab Physiology Lab
Name of Institute or School
ABN or Registration No
Please submit a copy of your business registration

Attach Files
Reason for laboratory visit

Reason for laboratory visit Tour Practial session Tour and practical session Other Other
Learning objective
Materials or specimens required (if known)
Qualification of participants
No. of participants intending to attend the session
Proposed visit date Proposed visit date / DD / MM YYYY
Proposed start time Proposed start time : HH MM AM/PM
Proposed end time Proposed end time : HH MM AM/PM
Laboratory staff required

Laboratory staff required Yes No
Catering

Catering Yes No
Section 2: Primary Contact Details
Name Name First Last
Phone
Email
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
I am aware that the booking of the labs will have costs associated with and not limited to staff hire, equipment/other supplies usage and chemical purchases. (A quote will be provided to you once the booking details have been confirmed by the relevant laboratory.)
Would you like information about getting into UOW?

Would you like information about getting into UOW? Yes No