{"id":766,"date":"2016-07-21T11:36:57","date_gmt":"2016-07-21T15:36:57","guid":{"rendered":"http:\/\/carleton.ca\/scs\/?page_id=766"},"modified":"2026-06-02T15:00:10","modified_gmt":"2026-06-02T19:00:10","slug":"research-lab-forms","status":"publish","type":"page","link":"https:\/\/carleton.ca\/scs\/current-students\/graduate-students\/forms\/research-lab-forms\/","title":{"rendered":"Research Labs, Visitors, CI and CCSS Access Request Form"},"content":{"rendered":"\n<section class=\"w-screen px-6 cu-section cu-section--white ml-offset-center md:px-8 lg:px-14\">\n    <div class=\"space-y-6 cu-max-w-child-5xl  md:space-y-10 cu-prose-first-last\">\n\n            <div class=\"cu-textmedia flex flex-col lg:flex-row mx-auto gap-6 md:gap-10 my-6 md:my-12 first:mt-0 max-w-5xl\">\n        <div class=\"justify-start cu-textmedia-content cu-prose-first-last\" style=\"flex: 0 0 100%;\">\n            <header class=\"font-light prose-xl cu-pageheader md:prose-2xl cu-component-updated cu-prose-first-last\">\n                                    <h1 class=\"cu-prose-first-last font-semibold !mt-2 mb-4 md:mb-6 relative after:absolute after:h-px after:bottom-0 after:bg-cu-red after:left-px text-3xl md:text-4xl lg:text-5xl lg:leading-[3.5rem] pb-5 after:w-10 text-cu-black-700 not-prose\">\n                        Research Labs, Visitors, CI and CCSS Access Request Form\n                    <\/h1>\n                \n                                \n                            <\/header>\n\n                    <\/div>\n\n            <\/div>\n\n    <\/div>\n<\/section>\n<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar 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Form<\/h2>\n                            <p class='gform_description'><\/p>\n                        <\/div><form class='not-prose' method='post' enctype='multipart\/form-data'  id='gform_16'  action='\/scs\/wp-json\/wp\/v2\/pages\/766' data-formid='16' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_16' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_16_44\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Please complete the form below to request key\/card access. Please note: The School of Computer Science MUST receive approval from your faculty supervisor in order to receive card access to a research lab. For rooms and offices that use keys, a $25 deposit for the key is required. <\/div><div id=\"field_16_3\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_16_3'>Room Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_3' id='input_16_3' class='medium gfield_select'  aria-describedby=\"gfield_description_16_3\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='HP4139- CCSS Office' selected='selected'>HP4139- CCSS Office<\/option><option value='HP5115- CHORUS LAB Chiasson' >HP5115- CHORUS LAB Chiasson<\/option><option value='HP5126- Stobert' >HP5126- Stobert<\/option><option value='HP5145 &amp; HP5166- AbdelRahman, Barrera, Somayaji, Van Oorschot, Zhao' >HP5145 &amp; HP5166- AbdelRahman, Barrera, Somayaji, Van Oorschot, Zhao<\/option><option value='HP5174 &amp; HP5170- Bose, Maheshwari, Morin, Smid' >HP5174 &amp; HP5170- Bose, Maheshwari, Morin, Smid<\/option><option value='HP5201- PostDoc\/Visitors Office' >HP5201- PostDoc\/Visitors Office<\/option><option value='HP5270- CI Office' >HP5270- CI Office<\/option><option value='HP5317- Mould, Van Kaick' >HP5317- Mould, Van Kaick<\/option><option value='HP5325- Moacdieh' >HP5325- Moacdieh<\/option><option value='HP5353- Liu' >HP5353- Liu<\/option><option value='HP5369- Corriveau, Oommen, Santoro' >HP5369- Corriveau, Oommen, Santoro<\/option><option value='HP5373- PARADIGM Sack, Nussbaum' >HP5373- PARADIGM Sack, Nussbaum<\/option><option value='HP5375- Barbeau, Kranakis' >HP5375- Barbeau, Kranakis<\/option><option value='HP5422- CompSci\/DSI Grad Lab 1 Baysal, Dehne, Komeili, El-Roby, Tsang, Wen' >HP5422- CompSci\/DSI Grad Lab 1 Baysal, Dehne, Komeili, El-Roby, Tsang, Wen<\/option><option value='HP5438- CompSci\/DSI Grad Lab 2 Guo (2yrs FT, 4yrs PT)' >HP5438- CompSci\/DSI Grad Lab 2 Guo (2yrs FT, 4yrs PT)<\/option><option value='HP5432- CompSci\/DSI Grad Lab 3 Holden' >HP5432- CompSci\/DSI Grad Lab 3 Holden<\/option><option value='HP5439- CompSci\/DSI Shared Visitors\/PDF Office (max access 4 yrs)' >HP5439- CompSci\/DSI Shared Visitors\/PDF Office (max access 4 yrs)<\/option><option value='VSIM- Rm6210A' >VSIM- Rm6210A<\/option><option value='VSIM- Rm6210B' >VSIM- Rm6210B<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_16_3'>Please select the room that you would like to request a key\/swipe access to.<\/div><\/div><div id=\"field_16_49\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_16_49'>First name:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_49' id='input_16_49' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_16_50\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_16_50'>Last name:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_50' id='input_16_50' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_16_48\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_16_48'>CUID:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_48' id='input_16_48' type='text' value='' class='medium' maxlength='9' aria-describedby=\"gfield_description_16_48\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_16_48'>9-digit Carleton ID number. If you do not have a Carleton ID number, please put &#8220;000000000&#8221;<\/div><\/div><fieldset id=\"field_16_41\" class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Carleton Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_16_41_container'>\n                                <span id='input_16_41_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_41' id='input_16_41' value=''    aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_16_41\" \/>\n                                    <label for='input_16_41' class='gform-field-label gform-field-label--type-sub '>Enter Email<\/label>\n                                <\/span>\n                                <span id='input_16_41_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_41_2' id='input_16_41_2' value=''    aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_16_41\" \/>\n                                    <label for='input_16_41_2' class='gform-field-label gform-field-label--type-sub '>Confirm Email<\/label>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><div class='gfield_description' id='gfield_description_16_41'>Please use your Carleton email account. If you do not have a Carleton email please enter an alternate email address. <\/div><\/fieldset><div id=\"field_16_8\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_16_8'>Status<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_8' id='input_16_8' class='medium gfield_select'  aria-describedby=\"gfield_description_16_8\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='UG' >UG<\/option><option value='Masters' >Masters<\/option><option value='PhD' >PhD<\/option><option value='Faculty' >Faculty<\/option><option value='Contract Instructor' >Contract Instructor<\/option><option value='PostDoc' >PostDoc<\/option><option value='Visitor' >Visitor<\/option><option value='CCSS Exec' >CCSS Exec<\/option><option value='Other' >Other<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_16_8'>Please select your current Carleton Status<\/div><\/div><div id=\"field_16_10\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_16_10'>Supervisor<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_10' id='input_16_10' class='medium gfield_select'  aria-describedby=\"gfield_description_16_10\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='Abdou' >Abdou<\/option><option value='Barbeau' >Barbeau<\/option><option value='Barrera' >Barrera<\/option><option value='Baysal' >Baysal<\/option><option value='Bose' >Bose<\/option><option value='Chiasson' >Chiasson<\/option><option value='Corriveau' >Corriveau<\/option><option value='El-Roby' >El-Roby<\/option><option value='Guo' >Guo<\/option><option value='Hillen' >Hillen<\/option><option value='Holden' >Holden<\/option><option value='Howe' >Howe<\/option><option value='Komeili' >Komeili<\/option><option value='Kranakis' >Kranakis<\/option><option value='Maheshwari' >Maheshwari<\/option><option value='Melcer' >Melcer<\/option><option value='Moacdieh' >Moacdieh<\/option><option value='Morin' >Morin<\/option><option value='Mould' >Mould<\/option><option value='Obraztsova' >Obraztsova<\/option><option value='Rabinovich' >Rabinovich<\/option><option value='Smid' >Smid<\/option><option value='Somayaji' >Somayaji<\/option><option value='Stobert' >Stobert<\/option><option value='Tsang' >Tsang<\/option><option value='Van Kaick' >Van Kaick<\/option><option value='Van Oorschot' >Van Oorschot<\/option><option value='Wen' >Wen<\/option><option value='Zhao' >Zhao<\/option><option value='N\/A' >N\/A<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_16_10'>If you are a CI, please select N\/A.  If you are a visitor, please select your Faculty host.   <\/div><\/div><div id=\"field_16_52\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_16_52'>Add Supervisor<\/label><div class='ginput_container ginput_container_text'><input name='input_52' id='input_16_52' type='text' value='' class='large'  aria-describedby=\"gfield_description_16_52\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_16_52'>Add a supervisor if they are not listed<\/div><\/div><div id=\"field_16_40\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_16_40'>Expected Return Date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_40' id='input_16_40' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_16_40_date_format gfield_description_16_40\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_16_40_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_16_40' class='gform_hidden' value='https:\/\/carleton.ca\/scs\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><div class='gfield_description' id='gfield_description_16_40'>Please provide an approximate date of when  you will no longer require access to the lab or office (ie: following completion of program, etc.)<\/div><\/div><fieldset id=\"field_16_42\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Consent<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_42.1' id='input_16_42_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_16_42\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_16_42_1' >I agree to the conduct policy.<\/label><input type='hidden' name='input_42.2' value='I agree to the conduct policy.' class='gform_hidden' \/><input type='hidden' name='input_42.3' value='4' class='gform_hidden' \/><\/div><div class='gfield_description gfield_consent_description' id='gfield_consent_description_16_42' tabindex='0'>I understand that the privilege of using the office room\/research lab, must be taken seriously. In particular, I agree that under no circumstances should I abuse these privileges by using the facilities in this office\/lab for purposes other than graduate work, contract work or research. Nor should I allow unauthorized persons access to these facilities. Failure to comply with these guidelines is sufficient cause to have access privileges revoked immediately without appeal.<\/div><\/fieldset><fieldset id=\"field_16_43\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >SOFTWARE NON-PROLIFERATION AGREEMENT FOR COMPUTER SCIENCE<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_43.1' id='input_16_43_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_16_43\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_16_43_1' >I agree 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