Turkey Creek Preserve: Site Use Request Form

Turkey Creek Preserve: Site Use Request Form
Turkey Creek Preserve (TCP) is available for research and university education with the stipulation that the preserve is first and foremost for the benefit of the resident wildlife. All users must certify that they have read over the guiding principles for the site (synopsis and link below). All users must also print and sign the Waiver and Release form.

Each request will be examined by the Turkey Creek Oversight Committee to determine whether all aspects of the request fall within the mission of TCP. We require all requests to be submitted at least one month in advance, and we reserve the right to reject requests that do not fit within the guiding principles of TCP or are deemed to be problematic for the management of TCP.

Please fill out only one form per research project or university course. If this request is for a project to be led by a student or postdoc, that person can be the primary contact on the form, but be sure to list the Principal Investigator (or advisor) as well.

If you have difficulties with this form, please fill out as much as possible and then list your questions in the comments box at the end. Someone will contact you in regards to your questions. Thanks!
Turkey Creek Preserve Guiding Principles

Please examine the TCP guiding principles here.

A synopsis of these guiding principles is as follows:

The mission of this site is to protect, expand, and restore TCP using Native American cultural values. All decisions made regarding use of TCP shall be in the best interest of the Elements, Plants, and Animals, with human interests and desires being secondary. TCP shall be used for university-related teaching and research, and shall not be used for general public access. Specifically prohibited on TCP are: hunting, guns, bows and arrows, dogs and other pets, horses, fishing, fishing poles, jet skis, motor boats, pontoon boats, and related activities.
I have read and understand the TCP guiding principles.*

YesNo
First and last name of primary contact person*

First NameLast Name
Email address of primary contact*
example@example.com
Telephone number of primary contact*
Please enter a valid phone number.
Job title / affiliation*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
First and last name of Principal Investigator or advisor, if applicable
Title / short description of project(e.g. UNO Botany lab)*
Project abstract – rationale and objectives for your site use*
Proposed start date*

MonthDayYear
Date
Proposed end date — enter the same date if you will only visit for one day*

MonthDayYear
Date
Is this project a renewal? We ask that multi-year projects submit requests every year.*

YesNo
Are you making any changes to your request from the previous year?

YesNo

Is this project funded by a grant and / or are you working on this project with collaborators from other institutions?*

YesNo
Please list the funding agency and / or affiliations of collaborators.
Approximately how many different people will visit the site as part of this project?*
If there are particular days of the week or times that you will visit (e.g. a university lab at a particular time), please indicate days and times below.
Location of project — A GPS location from Google Earth is particularly useful, but a general description of the location of work (e.g. pond on western edge of property) will suffice.*
Are you proposing to observe or handle animals?*

YesNo
Please list your Animal Use form permit number, or explain why you are not required to submit an Animal Use form.
Are you proposing to collect any samples?*

YesNo
Please describe what samples you plan to remove from the site and when you plan to do so.
If you are proposing a research project (rather than a class / lab), please briefly list your proposed methods.

I will treat all the organisms at Turkey Creek Preserve with respect.*

YesNo
I recognize that Turkey Creek Preserve is a restricted use site, and I will coordinate with the land manager in a timely manner in advance of each trip to the site.*

YesNo
I will make certain that every person associated with this project has printed and signed the release form at the link below before visiting Turkey Creek Preserve (you may wish to print a copy of this form now or save the link so you have access to it immediately before visiting). Failure to sign this form will result in non-admittance to Turkey Creek Preserve.*

YesNo
All publications arising from work done on the site or with samples from the site will be reported to TCP Preserve Manager Gary Barrineau at gbarrin@gmail.com.*

YesNo
Please list any comments or questions you have about this site use request form.
Should be Empty:

Turkey Creek Preserve: Site Use Request Form

Turkey Creek Preserve Guiding Principles