Questions marked with an * are required
RAIN Session Request - The Nanotechnology Collaborative Infrastructure Southwest (NCI-SW) at Arizona State University (ASU)
* First Name : 
* Last Name : 
* Email Address : 
* Institution :
* Phone :
* City :
* State :
* Zip :
* Country :
Arizona State University has the following instrument available. Please select to confirm this is the instrument you would like to use during your remote access session.
* Institution Type:
Middle school
High school
Technical high school
2 year college
4 year college
* Approximately how many students will participate?
5 or less
5 to 10
10 to 20
20 to 25
More than 25
Select a date and time (Eastern Time Zone) for your remote test date:
* Select a date and time (Eastern Time Zone) for your remote activity date:
Approximately, how much time would you like to allocate for this remote lesson session?
Which grade levels will participate in the remote session? (Check all that apply)
K - 8th
9th - 10th
11th - 12th
Graduate student

What area of science background do your students currently have? (Check all that apply)
Unknown, mixed audience
Material Engineering
Electrical Engineering

What level of science background do your students currently have? (Check all that apply)
Below high school
High school
College 100-200 level course
College 300-400 level course
College 500 level course or above

Do you currently offer a nanotechnology course at your institution/organization?
Did you install the Zoom video conferencing software onto the computer you are using for the remote session?
No, it will be installed before the remote test
No, I would like help downloading and installing the software
No, I cannot download that software. Please suggest an alternative system.
* What type of samples would like to image during remote access? (Check all the apply)
Synthetic Nanomaterials (nanoparticles, nanowires, etc.)
Biological Nanostructures (butterfly wing, gecko skin, cicada, etc.)
Electronics (microchip, DVD, Blue-Ray, etc.)
Mail in your own samples*
Other: please describe:

Briefly describe your learning objective(s) for the remote activity:
Would you care to provide any additional details on student background, curriculum or how you hope to implement the RAIN opportunity into your event?
If you would like to use one of NACK’s Remote Labs please select from the below:
Gold Nanoparticle Synthesis and Characterization
Nickel Nanowire Synthesis and Characterization
Dye-Sensitized Nanocrystalline Solar Cell Fabrication and Characterization
I agree to complete a post remote session surveys (Instructors and Students/Attendees) to help the RAIN program as part of NACK Network’s NSF grant funding responsibility to report their outreach and educational efforts