Research Request Form

Brackenridge Field Laboratory
At the University of Texas at Austin

2907 Lake Austin Boulevard : Austin, TX 78703 : 512/471-2114

Please acknowledge BFL in every publication or report that utilizes its facilities and send a reprint or copy to L.E. Gilbert. When submitting grant proposals, it is important that BFL and its Unit Code, 2060, be written on the PRF that goes to OSP in the blank
"ORU TO RECEIVE CREDIT FOR PROPOSAL/AWARD."

Request for Research Space

Name:________________________________________________________________________

E-mail address: ________________________________________________________________

Home Address:_________________________________________________________________

Home Phone:__________________________________________________________________

Campus Address (Dept/Bldg/Room) ________________________________________________

Campus Phone:________________________________________________________________

Degree level sought:____________________________________________________________

Name and department of your major professor:________________________________________

Description of research project
(attach copy of proposal abstracts, either from a grant or graduate committee)

Location of Experiment:

Room number_____ Circle: Botany or Zoology Wing

Outdoor Area Required___________________________

List special requirements (if any)

Expected duration of experiment from _______________________ to ______________________

I agree to remove everything associated with the experiment on its termination.

Signature:_____________________________________________________________________

Please return completed form to

John Crutchfield, Resident Manager
Brackenridge Field Laboratory (Mailcode L7000)
The University of Texas at Austin
2907 Lake Austin Blvd.
Austin, TX 78703
jcrutchfield@mail.utexas.edu