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Personal Profile Entry Form

Please enter your personal profile:         * Required fields

Title First * Middle * Last Name * [Nickname]
Department:     Institution:


City Prov. Postal Code Country

Work Home
* E-mail:    
Web Page:    

Affiliation:     and/or    

If you have your own mailbox at TRIUMF, should we send your "snail mail" to
your address    above   and/or to  TRIUMF?

    Renewals only:     TRIUMF µSR User since     [yyyy-mm-dd]


For targeted information release to members of the TRIUMF µSR Users' Group we would like to know your preferred area or areas of scientific interest. First we would like to know if you are primarily interested in the TRIUMF µSR User Facility for
  participation in theoretical work;
  development of facilities, techniques, software etc.; or
  solely for information purposes.

It will be even more helpful if you identify specific topics from the following list (these acronyms have been somewhat arbitrarily assigned):

Please indicate which of these research topics are important to you by entering the approximate percentage of your research effort devoted to them. (Leave blank to indicate "zero".)

CMP Chem Life SAP Appl Acc Eng Other
    %     %     %     %     %     %     %     %

Details of "Other" (if nonzero):

* Experiments:

Please indicate (by EEC numbers or the equivalent) any Experiments on which you collaborate (or to which your work is relevant):


We are also interested in knowing which µSR facilities you use, so that we may keep you notified of their status and consult you regarding recommendations about their maintenance, operation or development.

Please indicate which are important to you by entering the approximate percentage of your research performed at the facility in question. (Leave blank if zero.)

    %     %     %     %     %     %

Other Facility:  

Any other comments:

Please indicate current user status:

Shall we make the above information accessible in the TRIUMF µSR Users Database?

What sorts of notices would you like to receive by E-mail?
(0 = none;   1 = only most urgent;   2 = all but Bulletin Board postings;   3 = all)


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