General Research Application

Principal Investigator

First Name

Middle Initial

Last Name

Address

Street Address

City

State

Your E-Mail Address

Phone Number

Organization Information

Affiliation/Sponsoring Organization

Relationship to Affiliation/Sponsoring Organization (staff, professor, student, etc.)

Project Information

Project Title

Describe the Project

Describe the project and identify timing, activity frequency, and how the project is expected to proceed.

Identify Locations & Maps

Identify location(s) and attach a map for the project area: (GPS location(s) preferred).

Attach a Map for the Project Area

Please note there is a 2.9 mb upload limit.

Identify What's Being Studied

Identify all plant and wildlife species and/or habitats being studied, and types of specimen collections to be taken and/or all data to be collected during the proposed project.

Project Purpose/Hypothesis

Permit Information

Federal, State, or Tribal Permits List and attach copies of any other Federal, State, or Tribal permits if required.

Permit Type

Permit Number

Expiration Date

Upload Permit

Please note there is a 2.9 mb file size limit.

Permit Type

Permit Number

Expiration Date

Upload Permit

Please note there is a 2.9 mb file size limit.

Research Proposal

Upload Research Proposal

If applicable, upload the research proposal here. Please note there is a 2.9 mb file size upload limit.

Disclaimer and Signature

Disclaimer

By checking the box, I certify that my answers are true and complete to the best of my knowledge, that I will abide by and ensure that all Sub-permittees abide by the terms and conditions of any issued permit, including all laws applicable to the permitted activity and the attached General Conditions and Requirements.

Date

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