Faculty-Member Sponsor (If researcher is not affiliated with CMUBS): Is the research project sponsored by a research grant? (check one): Yes No   If yes, please list funding sources: Are funds available to pay for use of the facility (check one): Yes No   If yes, please give your account number: What level of costs do you anticipate for using the mesocosms (based on Table 1): Are funds available to cover pro-rated replacement costs of any pumps or bulb that fail during experiment: Yes No   Do you plan to use the artificial lights during the experiment: Yes No   If yes, how many hours per day? Check any specific conditions that will be part of the experiment: Nutrient Additions Contaminants Exotic Species Vertebrates     Describe the specific conditions: Start Date of Research: End Date of Research: How many of the mesocosm tanks will you use for the experiment? Do you agree to meet with John Works to learn how to set-up, maintain, drain, and clean the mesocosm system? Yes No   Attach a 1-page summary of the proposed research. Acknowledgment of responsibility for this project. ___________________________________ _______________ Signature of Principal Investigator (CMUBS) Date Approval of Request: Yes No   ___________________________________ _______________ Signature of Director Date Note: Once project is approved you will be sent a Specific Parameters form to complete.
Faculty-Member Sponsor (If researcher is not affiliated with CMUBS): Is the research project sponsored by a research grant? (check one):  Yes  No If yes, please list funding sources: Are funds available to pay for use of the facility (check one):  Yes  No If yes, please give your account number: What level of costs do you anticipate for using the mesocosms (based on Table 1): Are funds available to cover pro-rated replacement costs of any pumps or bulb that fail during experiment:  Yes  No Do you plan to use the artificial lights during the experiment:  Yes  No If yes, how many hours per day? Check any specific conditions that will be part of the experiment:  Nutrient Additions  Contaminants  Exotic Species  Vertebrates Describe the specific conditions: Start Date of Research: End Date of Research: How many of the mesocosm tanks will you use for the experiment? Do you agree to meet with John Works to learn how to set-up, maintain, drain, and clean the mesocosm system?  Yes  No Attach a 1-page summary of the proposed research. Acknowledgment of responsibility for this project. ___________________________________ _______________ Signature of Principal Investigator (CMUBS) Date Approval of Request:  Yes  No ___________________________________ _______________ Signature of Director Date Note: Once project is approved you will be sent a Specific Parameters form to complete.
Mesocosm%20Use%20and%20Protocol%20Request%20Form%202016.docx