Cary West Research Facilities Reservation Request Form
Cary Institute of Ecosystem Studies PO Box AB (2801 Sharon Turnpike) Millbrook, New York 12545-0129 Telephone 845-766-5343 Fax 845-677-5976
Application Procedure for use of Cary West Research Facilities
Complete and submit this form. Upload or E-mail additional materials requested to Denise A Schmidt, Director of Laboratory Facilities and Analytical Services (DLFAS): schmidtd@caryinstitute.org. NOTE: If animals are to be used, you must submit the approval from your organization’s animal use committee stating that your proposal has been reviewed and approval granted (IACUC). Applications will be reviewed by the DLFAS and notified via email of a decision. Please allow at least two weeks for the review process to begin. Once approved, applicants will meet with the DLFAS to discuss access regulations and additional needs of the project. The Institute must be acknowledged as the site where your work was conducted in any publications that result from this work. The proper way to acknowledge the Institute is as follows: Cary Institute of Ecosystem Studies Millbrook, NY. Applications for use of Cay West Research Facilities must be submitted, updated and renewed annually.
Name
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First Name
Last Name
Email
*
example@example.com
Home Institution
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Project Title
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Co-PI's
Person(s) responsible for project oversight and clean-up during and at the end of the project.
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Project Start Date
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Month
-
Day
Year
What date will you start using the facility?
Project End Date
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Month
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Day
Year
What date will you end the project and clean-up the facility?
Facility Request
Request for Head House Facility Use (Check all that apply)
Green House 1 (Artificial Stream Facility)
Green House 2
Green House 3
Green House 4
Common Area
Lab Room 1 (Artificial Stream Facility)
Lunch Room
Soil Incubation Room
Potting Area
Berlese Funnels
Garage Area
Grieve Oven
Request for Rearing Facility Use (Check all that apply)
Room 1 (Large Animal)
Room 2 (Stable Isotope Clean Room)
Room 3 (Small Animal Room)
Room 4 (Terrestrial Science)
Room 5 (Aquatic Science)
Common Area
Approvals and Permits
If this project involves work with vertebrate animals do you have IACUC approval? If yes, please e-mail your IACUC protocol to DLFAS
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Yes
No
Pending
Not Applicable
IACUC Approval Date
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Month
-
Day
Year
Date
Final Form Submission
I agree to provide the resources necessary to clean up project and to do so in a timely manner. Please sign below.
Upload project description and other required materials here.
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