Scientific Research Permit Application

Forest Preserve District of Kane County

Scientific Research Permit Application
Applicant Name*

First NameLast Name
Organization/Agency
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Phone*
Please enter a valid phone number.
Secondary Phone
Please enter a valid phone number.
Email*
Vehicle Make & Model (e.g. Ford F-150)
Vehicle Plate Number (e.g. IL AB12340)
Project Information
Will there be any other persons conduction research with the applicant?

YesNo
If yes, please list all names, emails, and phone numbers:
Please describe the research or project proposed, including project title:*
Name of Forest Preserve(s) at which project will occur:*
If permanent markers are to be installed, please describe:
Will this project require capture and/or removal of live organisms?

YesNo
If yes, please explain:
Will this project involve Endangered or Threatened species?

YesNo
If yes, please list the species and State/Federal Permit Number(s):
Project Start Date*

MonthDayYear
Date
Project End Date*

MonthDayYear
Date
Please upload any supporting documentation here:

Cancelof
IMPORTANT NOTE: If the project/research is funded by State, Federal, or local sources, the applicant is required to provide applicable permits AND project description(s) as submitted to secure such funding.

Please allow 2 to 4 weeks processing time for this permit application. The Forest Preserve District of Kane County reserves the right to request additional documentation to complete approval of scientific research request, including but not limited to: resume/CV, certifications, and/or recommendations.
Should be Empty:

Forest Preserve District of Kane County

Project Information