SACLA Research Proposal Application Form[General Proposal (non-proprietary) and Priority Strategy Proposal (non-proprietary)]

[I. Basic Information]

1. Project Leader Information (required)

User Card ID No. Name Affiliation

2. Title of Experiment (required) (70 word limit)

3. Type of Proposal (required)

Type of Proposal (Check one.)

General Proposal

Priority Strategy

Proposal

Hierarchical Structure

Dynamics of Biomolecules

Structural Analysis of Drugtargeted Membrane Protein

Nanocrystals

Imaging of Whole Cell and Its Components in the

Living State

Single Molecule Structural Analysis of Supramolecular

Complex

Dynamics Research Combining Single Molecule X-ray

Diffraction Experiments and Supercomputer Analysis

Dynamic Structural Analysis Using Pump-Probe

Techniques

Pico/Femto Second

Dynamic Imaging

Gas-Phase/Liquid-Phase/Solid-Phase Reaction

Dynamics

Ultrafast Interface Reaction Processes

Charge Generation/Charge Transfer Dynamics

Ultrafast Processes under Extreme Conditions

Dynamic X-ray Spectroscopy

4. Reason for Submitting the Priority Strategy Proposal (priority strategy proposal applicants only) (230

word limit)

5. Research Area (required)

• Research Area (Select from the "Table of Research Areas.")

Group

(required)

Subgroup

(required)

If "Other," specify.

6. Research Method (required)

• Research Method (Select from the "Table of Research Methods.")

Group

(required)

Subgroup

(required)

If "Other," specify.

7. Choice of Beamline/Hutch (required)

Beamline (Check one.)

BL3 (XFEL)

EH1

EH2

EH3

EH4

BL1

8. Number of Shifts Requested (1 shift = 12 hrs) (required)

(Explain how you estimated the number of requested shifts in the space provided for #15: How you

calculated the overall beamtime requested.)

- shift(s) x run(s)

- shift(s) x run(s)

- shift(s) x run(s)

(e.g. 6 shifts x 1 run, 3 shifts x 2 runs, etc.)

9. Project Team Member Information

User Card ID No. Name Affiliation

[Notes]

- Add rows as necessary.

- Project team members as well as project leaders are required to complete user registration in advance.

- Members can be added or removed after the proposal has been approved.

- If you are affiliated with an institution outside Japan, please have at least one local contact person affiliated

with a Japanese institution participate in your experiment.

[II. Abstract]

Charts and/or figures (not included in the word count) should be inserted into the text, if necessary. You may

place them at the end of this section, II. Abstract, indicating what part of this section they relate to.

10. Abstract (required) (1200 word limit)

Describe the significance, purpose, features and expected results of the proposed research , and the

consistency with these review criteria, which will be used to review the scientific validity of the

proposed research. Please also be sure to provide the necessity of the SACLA as a research tool.

11. Provide the progress made regarding the proposed research, the relationship with another proposal(s)

being applied, if any, and your previous experience with similar experiments. (required) (270 word limit)

12. Provide the expected future developments and direction of the proposed research. (required) (270 word

limit)

[III. Experimental Details]

Charts and/or figures (not included in the word count) should be inserted into the text, if necessary. You may

place them at the end of this section, III. Experimental Details, indicating what part of this section they relate

to.

13. Experimental details (sketch of setup, measurement method, detector, concentration of samples, etc.).

(required) (1200 word limit)

14. Operating conditions required (e.g. wavelength, etc.). (required) (50 word limit)

15. How did you calculate the overall beamtime requested? (required) (900 word limit)

16. What facility equipment, pooled/shared device do you wish to use? (required) (90 word limit)

Do you plan to use the synchronized laser system? (If you use the OPA, be sure to

provide the wavelength.)

Laser System Check where appropriate. Wavelength

Chirped Pulse Amp. (CPA)

Optical Parametric Amp. (OPA)

17. Equipment that you will bring to the SACLA.

Equipment Specifications*1 Safety measures

*1: Voltage, ampere, pressure, temperature, etc.

[Notes]

- Add rows as necessary.

- Specify whether it is a homemade or commercial product.

18. Details of samples/reagents. (required)

Name of

material*2Shape*3 Quantity*4 Hazards*5 Purpose*6 Storage and disposal method*7

Safety

measures*8

*2: Use general names, structural formulas, or compositions (XAFS) and do not use abbreviations or acronyms;

*3: Capillary (powder), cylinder (gas), plate (crystal), metal foil, tablet, bulk, etc.;

*4: SI Unit;

*5: Poison, deadly poison, organic solvent, selected chemicals, combustible, harmful, none, etc. If "none," state on

what grounds. (e.g. small amount and chemically stable);

*6: Sample for measurement, for cleanser, for coolant, for tranquilizer, etc.

*7: Concisely describe the storage/disposal method, and the treatment method before and after the experiment.

*8: Ensure consistency with the descriptions for "Hazards*5."

[Note]

- Add rows as necessary.

19. Safety Procedures

19-1 Does your proposed research involve any of the following? If it does, you are required to

follow certain pre-use/pre-experiment procedures.

Check Item(Check all

that apply.)

High pressure gas cylinder

Radioisotope

Radiation generator: installation, modification, change of purpose or specifications

Internationally controlled materials (nuclear source/fuel materials)

Installation of devices/equipment regulated by law:

- High-pressure gas manufacturing plant

- Local ventilation/gas supply and exhaust system

- Crane

Chemicals regulated by law:

- Specific substances regulated by the "Act on the Prohibition of Chemical Weapons and

Control of Specific Chemicals"

- Specified poisonous substances regulated by the "Poisonous and Deleterious Substances

Control Law"

- Substances for which manufacturing is prohibited, asbestos, etc. under the "Industrial Safety

and Health Law"

- Narcotics, stimulant drugs, hemp (gum), opium, and their raw materials, psychotropic drugs,

and no dangerous substances of 1/5 or more in quantity specified by the "Fire Service Act"

Invasive alien species

Specified risk materials (SRM) from cattle

Prohibited imports regulated by the "Plant Protection Act"

Recombinant DNA

Human materials

High-energy laser system (Class 4, Class 3B and Class 3R lasers specified by IEC 60825-1

standard)

19-2 Does your proposed research involve live animals (mammals, birds, or reptiles)?

Check if

applicable

19-3 Does your proposed research involve specific biological samples/biohazards* (agents of biological

origin that have the capacity to cause ill-effects in other organisms)?

Check if

applicable

*pathogenic microbes (incl. infectious nucleic acids, plasmids, prions), parasites, and the toxic substances,

carcinogens, and allergens produced by them that can cause harm to humans, livestock, and farm/marine

products.