Genes, Development And Behavior
Department of Translational Neuroscience
Utrecht, The Netherlands

Application form


Project application form for iPSC Training Facility

Personal details

First name:


Family name:






Lab group:


Telephone number:


Postal address:


Zip code & City:


Email address:



Please provide a brief response to the following questions

Project details

Project title:


Project description (max. 250 words):



Motivation for using iPS cells:


Assay(s) for which iPS cells will be used:


End-point readout:


Project duration:


Number of cell lines for reprogramming:


Number of cell lines:


Reason for using this number of cell lines:


Type of neuronal differentiation:

Which type of differentiation:


Is training required:  Yes/No

Number of employees that will work in the iPSC Facility:


Work experience of the employee(s):

Months/years experience with tissue culture:


Please attach curriculum vitae of the employee(s)




After completing this document please send it, including CVs, to Sandra Kling.



Contact information:

Dr. Sandra Kling

IPSC Facility Manager


T: +31 (0) 88 7567334


Postal  address:

BCRM iPSC  Training Facility

UMC Utrecht

Str. 4.205

P.O. Box 85060

3508 AB Utrecht

The Netherlands


Visiting address:

BCRM iPSC Training Facility

UMC Utrecht

Room Str. 4.233

Universiteitsweg 100

3584 CG Utrecht

The Netherlands