Lab Reservation Form - Office of Research

Reserve Your Lab Space or Collab Room

To request a space at the Social Science Lab Complex, please fill out the reservation form. The reservation form can also be downloaded in PDF format.

If you see this don't fill out this input box.

*Request Submission Date

*First Name

*Last Name

*KSU Email Address

*Title of Research Project

Research Description/Justification

*Principal Investigator(s)

Additional Faculty Members (if applicable)

Additional Student Members (if applicable)

*College affiliation

*Briefly describe the research tasks you will be working on while in this space

*Expected intellectual products (e.g., extramural grant/award proposal,manuscripts, etc.) that will be generated from use of this space. Please be as specific as possible.

*What is the source of funding to support your activities in this space?

Space Use & Needs

*Please indicate the number of people using the workspace for this reservation

Please choose the spaces you would like to reserve during this time. Check all that apply:

Lab-1

This 332 sq. ft. room is strategically designed to be generic and flexible in nature to accommodate unknown future research opportunities. Operate as unassigned spaces and can be claimed on an as needed basis. Ample storage for research equipment provided.

Lab-2

This 336 sq. ft. room is strategically designed to be generic and flexible in nature to accommodate unknown future research opportunities. Operate as unassigned spaces and can be claimed on an as needed basis. Ample storage for research equipment provided. There is a sink and refrigerator in this room.

Lab-3

This 261 sq. ft. room is strategically designed to be generic and flexible in nature to accommodate unknown future research opportunities. Operate as unassigned spaces and can be claimed on an as needed basis. Ample storage for research equipment provided. There is a sink and refrigerator in room, and it is linked to observation room 1.

Lab-4

This 239 sq. ft. is strategically designed to be generic and flexible in nature to accommodate unknown future research opportunities. Operate as unassigned spaces and can be claimed on an as needed basis. Ample storage for research equipment provided.

Classroom/Computer Room

This 794 sq. ft. room provides both fixed and flexible furniture to support the multi-purpose function of the space. Ceiling-mounted projector and a manual pull-down screen. A wireless presentation device to connect laptops and other devices wirelessly that are connected to the projector. There are 20 Computer workstations.

Observation Room-1

This 71 sq. ft. room serves as the Command Station for Lab #3. It is equipped with two desktops, a web camera, ceiling microphone, and push-to-talk microphone to allow observers in Observation Room 1 to see and communicate with participants in Lab #3.

Observation Room-2

This 96 sq. ft. room serves as the Command Station for Labs 1 and 2. It is equipped with a web camera, ceiling microphone, and push-to-talk microphone to allow observers in Observation Room 2 to see and communicate with participants in Subject Rooms 1 and 2. One-way mirrors on the walls facing the Subject Rooms also provide another means of viewing participants.

Focus Group Room

This 243 sq. ft. room provides a 75” professional grade display that will be connected to the following features: a wall mounted controller to control the display, HDMI laptop connection below the display, a wireless presentation device to connect laptops, and other devices wirelessly, a Dell micro installed behind the display with wireless keyboard/mouse, and a Web camera/audio bar below for use with Web-based conferencing systems. Provides seating for 8 people.

Video Room

This 234 sq. ft. room supports web-conferencing and podcasts as well as serving as a secondary Focus Group Room, and if needed, provides seating for 5 people. The following features facilitate these various functions: a wall-mounted controller to control the display, HDMI laptop connection below the display, a wireless presentation device to connect laptops and other devices wirelessly, a Dell micro installed behind the display with wireless keyboard/mouse, a Web camera/audio bar below for use with Web-based conferencing systems, and a Tascam Mixcast 4-Person Podcast Kit with Podcast Mixer-Recorder.

*Check the box that mostly describes how space allocated will be used:

Research space for externally funded projectsResearch space for work not externally funded but important to the University's scholarly endeavorsSpace for functions that directly support research, instructional and service missionSpace for functions that indirectly support research, instructional and service mission

Special Requirements for Space

*Are human subjects involved in your research?

YesNo

If yes, please provide IRB protocol number.

*Is IRB approval required for this project?

YesNo

If yes, please provide the number of human subjects involved (please indicate number of adult subjects and number of minor subjects).

*Are you collecting human samples?

YesNo

If yes, please provide IRB protocol number.

What specific equipment do you require, if any?

What specific audio/visual services do you require, if any?

*Please provide specific dates and times when you would need the requested space.

Starting date/time for your request.

*Please provide specific dates and times when you would need the requested space.

Ending date/time for your request.

*How many parking spaces will you require?

External Funding

Grant Description

Please provide a detailed description of your grant.

Who is the sponsor?

What is the duration of the project/external funding?

What is the amount of your external funding?