Genomics Sample Request Form Your Name First Last Your Email Your Phone NumberFunding Source PI Name First Last PI Email Project Title PlatformNextSeqMiSeqQC onlyOtherRun TypeTotal RNA-seqmRNA-seqChIP-seqmiRNA-seqATAC-seqAmplicon-seq10x single cell 3’ gene expressionQC onlyOtherPlease type in the run type below Number of Samples Number of mapped reads expected per sample Paired-end or single-end? Paired-end Single-end Reference genomeNo bioinformatic analysis requestedRat RGSC 6.0/rn6Human hg38Mouse mm10Human hg19Mouse mm9OtherWhat is the biological question(s) you want to address (using what seq application)?Please provide some details about your project’s objective, background, and experimental design. Include a brief description how samples were obtained.If requested, please describe the comparisons between samples that need to be performed bioinformatically.Are there biological replicates included in the experiment? Please include a label for each sample.ListSample LabelConcentration (ng/ul)Volume (ul)Extraction Method Add Remove