Research Proposal Title: ____________________________________________________________

Proposed Beginning Date: ____/____/______
Proposed Ending Date: ____/____/______

Principal Investigator: _________________________________________________________

Affiliation:
_________________________________________________________

Position:
_________________________________________________________

E-Mail:
_________________________________________________________

Phone (_____) ______-_______ | Cell Phone (_____) ______-_______

Mailing Address _________________________________________________________

_________________________________________________________


Co-Investigator(s):
Name(s):
Affiliation(s):
Position(s):

Is the project funded? Yes ___ No ___

Funding Source: _____________________________________________________

Please provide a narrative description of the proposed research project.

Address the following major points:
· Significance of Research
· Detailed procedures to be followed
· Specific area of the reserve where the proposed research will take place
· Any potential disturbances to the reserve's ecosystem, animal and/or plant populations, cultural or geologic resources, along with plans for avoidance or mitigation
· Need for equipment storage space on the reserve

Sign below: I am familiar with and accept the conditions for research stipulated in the Reserve's Research Protocol.

Signature of Principal Investigator

______________________________________
-------------------------------------------------------------------------------
Approved _____
Approved with Conditions (see attached) ______
Not Approved ______

BCCER Director___________________________________