CMUBS Researcher Application

Institution/Organization and Lab Name (if applicable)

Primary Contact Person

CMU ID Number (if applicable)

Email

Address

City

State

Zip Code

Telephone

How Will You Be Billed?

Please indicate if there are any special arrangements or if the billing address is different than above. For CMU internal account billings, please provide the Cost Center or WBS Element.

Research Description - Please describe your research and your plans at CMUBS

Travel Information - Arrival Date & Time

Travel Information - Departure Date & Time

How Will You Be Arriving

How Will You Be Departing

Do you need transportation from the airport or the ferry dock?

Please indicate the number of bikes and/or large luggage items that need to be picked up/transported

Please explain any special lab equipment/arrangements needed

If Yes how much space?

If yes, dates needed in the greenhouse

Required Driver Information: Full Name

Required Driver Information: Date of Birth

Required Driver Information: Driver's License #

Email Address: For out-of-state drivers (to send driver record affidavit)

For inland lakes research, what kind of vessel do you need?

For Great Lakes research, what kind of vessel do you need?

Please provide additional information about your research needs

Housing Needs - Total number of beds needed

List the names, gender, and housing type desired for all attendees

Indicate any special housing arrangements desired

Meal Information - Indicate any special dietary needs, including if there are any vegetarians in the group (indicate number and/or any specific types of food allergies)