Research / Station Use Application | Custom Applications & Consulting Services

Personal Information

First Name

Middle Name

Last Name

Your Home Institution

Contact Information

Address Line 1

Address Line 2

City

State or Province, and Country

Zip or Postal Code

Phone

Email

Proposed Research or Activity

This is an application to:

Conduct research

Use the Station for some other purpose, e.g. visiting group or class

Title of Project/Activity

Start Date of Overall Project

End Date of Overall Project

Date when you hope to first visit MLBS for this project

Expected lab/group size

Description of Project/Activities

Facilities, equipment, or space requested

GPS Coordinates of Research Area (if Known)

Will your work involve non-local organisms?

No

Yes

Will your work involve vertebrate animals?

No

Yes

Use of vertebrates requires special advanced approval. Please see: Use of Vertebrate Animals in Research and Teaching. All animal users and handlers are responsible for knowing and satisfying all state, federal, and institutional requirements. This includes all home institution and University of Virginia IACUC and Occupational Health requirements.

Sources of support for your work

Is your work supported by the NSF?

No

Yes, Division and Program...

Research Support Request (optional):
MLBS has some funds to help cover costs of doing research for graduate students and early career faculty. If you wish to be considered for one of these awards please provide a brief budget (e.g. station fees and research expenses) and information on any other current or pending support. Review of applications for support begins March 15.

Help Us

How did you learn about Mountain Lake? Check all that apply

Brochure, Poster or Display at school

Brochure sent directly to me

Website

Current or former Mountain Lake student

Current or former Mountain Lake faculty

Instructor or Adviser

Online database/listserv

Other…

Office use only: RES2026

Office use only