Revised 17 February 03
Request for Research Space or Accommodations
| Name: ________________________________________ | |
| e-mail address: ________________________________________ | |
| Home Address ____________________________ | Home Phone: ____________ |
| Campus Address (Dept/Bldg/Room) ____________________________ |
Campus Phone: ____________ |
| Degree level sought: ____________________ | |
| Name of your major professor and Department: ______________________________________ | |
Description of research project
(attach copy of proposal abstracts, either from a grant or
graduate committee)
Location of Experiment:
Accommodations for _____ people for period from ___________________ to __________________.
Outdoor Area Required:
___________________________ (use quadrat designation provided on
map):
List special requirements (if any):
Expected duration of experiment from ____________ to
_______________.
I agree to remove everything associated with the experiment on its termination.
_________________________________
Please return completed form to
Dr. Phil Schappert, Resident Manager
Stengl “Lost Pines” Biological Station
Zoology Department, Mailcode C0900
The University of Texas
Austin, TX 78712
SLP Web : Home | Staff | History | Biological Inventory
