Targeted Exposure Analysis Core Request Form Principal Investigator (PI) Name* First Last Investigator Requesting Service (if different than PI) First Last Email Address* Department/Division*Project Title*Project Description*Are you a HERCULES investigator?*YesNoAre you a HERCULES pilot project recipient?*YesNoAre you collaborating with other HERCULES investigators on this project?*YesNoWho are you collaborating with?Are funds available to run analyses if limited/no HERCULES subsidies are available for your entire request?*Sample Type*Number of Samples*Sample Species*Is the sample prepped?*YesNoType of Analyses* Organic Inorganic Other Describe type of analysesAre you interested in: consultation on experimental design? training on an instrument? methods development? What are the data generated intended for?* Existing funded study Data to support grant application Exploratory Other What are the data generated inteded for?Briefly describe how the data generated from these samples will be used.*EmailThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.