Submission Form

Please answer the following questions and submit this questionnaire to us. Your answers will help us select appropriate experimental parameters, schedule diffractometer time efficiently, and may aid in the structure solving process. All fields must be Filled out. If you do not have any information for a field place the text “none” in the contents of the field.

If you believe anything in your submission to be incorrect after completion, please do not “submit” again. To remedy this, please email The Xray Crystallography Lab and any modifications to your submission can be applied at your request.

Student Name *

Student Email *

Student Phone *

Grant Number *

XXXXXXX

Research Director Name *

Last name only

Research Director Phone *

Sample Information

Chemical Formula *

Content *

Draw possible structures: (if more than one give % confidence in structure in box labeled Structure comments below) Press button under drawing area when finished activate your structure. A list of coordinates should appear in the box below the button. Ring templates can be found by pressing the cardfile button at the top of the drawing area. If your structure contains charged species, please note the right charge information in the comment below.

Structure Comments *

Please comment about any charges within this structure.

Chirality *

How are the crystals grown? *

List ALL the solvents used in preparation and crystallization *

Prioritization Information

How complete of a structure do you require for this compound? *

Please rate the urgency of the results on this 10 Point Scale.

10 - Most Urgent 1 - Whenever you get to it

Additional comments

WAIT….. Are you sure that everything is correct? If so, proceed with your submission.

University of Florida

The Center for Xray Crystallography

Submission Form

Sample Information

Prioritization Information