Teaching and Research Use Form

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Please fill in the following form as completely as possible. When it is completed, hit "Submit".

General Information:

Contact information will only be used to clarify questions regarding this form or to coordinate activity schedules.

Property Requested for Use *

This application is from: *

UWSP Faculty/Staff

UWSP Graduate Student

UWSP Undergraduate Student

UWSP Student Organization

Non-UWSP Applicant

Primary Applicant Name *

Department/Discipline or Organization *

Biology

Forestry

Human Dimensions

Soil

Water

Wildlife

Other:

Daytime Phone *

Email Address *

Instructor/Advisor Name

Required only for student applicants

Instructor/Advisor Email

Required only for student applicants

In total, how many people including yourself will be involved with this class, project, or research? *

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