UWGB Natural Areas Research Permit Request

Personal Information

Name

Department or Institution

Departmental Address

Campus or Office Phone Number

Mobile Phone Number

Proposed start date (mm/dd/yyyy)

Proposed end date (mm/dd/yyyy)

Is this a new permit request or a repeat request/continuation of an existing long-term study?

New permit request
Repeat permit request or existing long-term study (Note: project, location, and all components of the research project should be exactly the same as previous application)