Kleinhorst Lab Access Form | Energy Lab

Applicant's details

First Name

Last Name

Email address

Phone number (if outside Netherlands, please include international dialing code. For example - for Germany use +49)

Employee number

Organization

Chair

Position

Supervisor's full name

Supervisor's email id

Select a slot for the lab safety tour given by the lab technician Ing. Henk-Jan Moed. You will be given access to the lab only after completing this tour. Please mark your selection in your calender and be present in the Energy lab at your chosen slot. If you will not be able to come on your chosen slot, please inform Henk-Jan at h.f.g.moed@utwente.nl.

August 12th - Wednesday - 1330-1430

August 26th - Wednesday - 1330-1430

Septmeber 30th - Wednesday - 1330-1430

October 14th - Wednesday - 1330-1430

October 28th - Wednesday - 1330-1430

November 11th - Wednesday - 1330-1430

November 25th - Wednesday - 1330-1430

Expected end date for lab access

The above applicant has met the following conditions

Has the appropriate knowledge of safety regulations and protocols in this protocol

Is aware of the guidelines for working in the respective area

Submission of this document indicates that he/she will comply with and act according to the specified regulations