Register for HMS

    Personal Contact Information

    First Name:

    Last Name:

    Username:

    Password:

    Title:

    Affiliation:

    Harvard User ID (HUID):

    Harvard User ID Expiration:

    Department:

    Lab/PI:

    Email:

    Phone:

    Fax:

    Address:

    Billing Code:

    Finance Office Contact

    First Name:

    Last Name:

    Phone:

    Email:

    Disclaimer

    As a condition of access to the Microfluidics Core Facility, you on behalf of your affliation agree to the terms and conditions of this Disclaimer. This Disclaimer sets forth the general user policy and safety regulations regarding to the use of the facility. By clicking on "submit" below, you acknowlesge that you are aware of and accept the policy and regulations.

    Specifically, you agree to following:

    • You agree to protect your username and password. Don't share nor disclose.
    • You have read and you agree to follow all the rules mentioned in "Information for Users"
    • You agree that you have provided correct personal and billing information in registration form.
    • You agree to follow the "User Dress Code" anytime when entering microfabrication room of the facility
    • You agree to follow the "Chemical Safety Rules".

    After you submit your registration information, an email will be sent to you. We will verify your request.

    I certify that I have read this disclaimer.