Pymatuning Laboratory of Ecology 2015 Researcher Use Application

Applicant Information
Name
Title or Academic Status
Home Institution
Department
Address
E-mail
Phone
Lab and office space request
Will you need lab and/or office space while at PLE?
Describe your laboratory and office space needs at PLE. If you are familiar with PLE's lab spaces, you may also indicate what specific lab space you would like to use. We will do our best to honor requests. Available spaces and associated costs are listed on the PLE website: PLE research facilities
Provide below the dates you will need the lab/office space requested, if applicable.

We realize that scheduling precise dates months in advance is difficult. Please provide your best estimate as we will be blocking of a space for you, making that space unavailable to others. We treat this as a formal reservation and ask that changes to arrival and departure dates be provided ASAP (emailed to pymlab@pitt.edu) and at least one week in advance of any change. See PLE Researcher Policies document below for specific financial consequences of last second changes.
Approximate Arrival Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Approximate Departure Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
If your request is for multiple time periods across the season, provide that detail below. Please note that it will be necessary to remove all belongings from lab/office to avoid being charged for the space during periods of absence in the middle of the season.
Please note that there is a $250 flat fee for any PLE research project that is using our field or forest areas but not paying bench fees for lab and office space. For relatively large projects of this type there may be an additional negotiated charge.
Housing needs
Will you or your assistants need housing at PLE?
*NOTE: Applicant assumes responsibility for actions and fees of research team and family members while at PLE. If research team members are paying their own housing and/or food bill, please notify PLE upon arrival. Ultimately, all fees are the responsibility of the PI.

*DOGS: PLE is expanding the availability of Dog-friendly housing at PLE. Please see this document:

https://www.ple.pitt.edu/sites/default/files/Documents/ple_dog_policy_4-6-21.pdf

for details about the costs and rules. Please notify us as early as possible by email (pymlab@pitt.edu) if you are requesting pet-friendly housing options so we can advise you.

For current housing rates: https://www.ple.pitt.edu/research/information-researchers/station-fees-housing-dining-lab-space

Housing request for applicant
Approximate Arrival Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Approximate Departure Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
What type of housing are you requesting (we will make every effort to honor requests, but this is not always possible)? As a guide, Cabins are typically reserved for faculty; Apartments for faculty, post-doc's and graduate students; Dorms for graduate students and undergraduate assistants. Our two houses are often a mix of all types of researchers.
Will you need housing for family members that are not involved in your research?
Number of Family Members
If the applicants housing request is more complicated (with multiple periods of presence and absence) please provide details below:
Will you have other research personnel that need housing?
Assistant1
Assistant 1 Email
example@example.com
Role

Other
What type of housing are you requesting for Assistant1?
Approximate Arrival

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Approximate Departure

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
If Assistant1's housing request is more complicated (with multiple periods of presence and absence) please provide details below:
Any additional research personnel?
Assistant2
Assistant 2 Email
example@example.com
Role

Other
What type of housing are you requesting for Assistant2?
Approximate Arrival

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Approximate Departure

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
If Assistant2's housing request is more complicated (with multiple periods of presence and absence) please provide details below:
Any additional research personnel?
Assistant3
Assistant 3 Email
example@example.com
Role

Other
What type of housing are you requesting for Assistant3?
Approximate Arrival

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Approximate Departure

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
If Assistant3's housing request is more complicated (with multiple periods of presence and absence) please provide details below:
Any additional research personnel?
Please add the information for additional personnel below:
Dining Hall Options

While all of our researcher residences have kitchen facilities, sometimes researchers prefer to let someone else do the cooking for them! Catered meals are available in the PLE Dining Hall while our field courses are running (mid May to early August). When meals are served and the cost of catered meals is available on the PLE website
Are you (or your assistants) interested in eating catered meals in our Dining Hall.
Please describe your dining needs in the box below (dates and who will be eating and which meals).
Research project information
Title of Project
Is this a renewal for a multiyear project? If yes and you have an approved protocol under this title on file at PLE you may skip to section IV. However, please indicate any changes in the appropriate places and submit permits and animal care protocols for the current year.
Duration of Project
Objectives of Project
Methods
Describe any health risks to personnel involved in this project (e.g., exposure to disease vectors, chemical hazards, venomous animals, allergens, etc.)
Describe safety measures and training to be used for all personnel
Will you be collecting specimens or samples?
Please describe what you will be collecting and what its final disposition will be (return to site of collection, discard, deposit in PLE collection or museum, etc.)
Does your research require state or federal collecting permits?
Please attach copies of collecting permits. If permits are pending, send copies when they arrive.

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Does your research involve live vertebrate animals?
Do you have an approved Animal Care Protocol from the University of Pittsburgh IACUC?
Please attach a copy of the approved Animal Care Protocol from the University of Pittsburgh IACUC (or indicate if pending and send a copy when it arrives).

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In order to do research involving vertebrate animals, PLE researchers MUST have an approved Animal Care Protocol from the University of Pittsburgh IACUC. If one is pending, please send a copy when it arrives.
List any field equipment you will need to borrow from PLE and any assistance you might need from PLE staff including plowing, mowing, hauling, etc. (see fee schedule in Researcher Policies document below)
Please provide a short (1-2 paragraph) description of your proposed research at PLE. This will be used on the PLE website to describe current research activities.
Please attach a photo of you to accompany the text entered above on the PLE website.

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Land Use and Permit Information

Maps of PLE properties can be downloaded here.
Are you requesting the use of PLE properties as field sites?
Which PLE site(s) will you be using?
Please attach a copy of a map (or maps) of your study site(s) indicating precise location(s) and size of study plot(s).

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Will this work be done on other sites ( e.g. , State Game Lands, privately owned land) in the Pymatuning area?
Please attach a map indicating location(s) of site(s). If you will be working on public land, also attach a copy of the authorizing letter from the Game Commission, State Park, or other agency. If the site is on private land, indicate the landowner and confirm that you have permission for access.

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Characterize the severity of the environmental impacts of the proposed research, both short- term and long-term. Include effects on land, vegetation, plant and animal populations, genetic composition, introduction, relocation, or elimination of organisms, etc:
Describe potential conflicts with other research projects being conducted in the area:
Do you plan to install equipment or markers in the study area?
Will the markers/equipment be temporary (gone in a few months) or permanent?
Describe how your equipment or markers will be identified (what type, marked with initials, color coded, etc.)
Describe your plan for project close out: (We require that the area be returned to its pre-research condition.)
V. Fee Payment
How will you be paying PLE fee charges (housing, food, lab and office space, etc.)?
V. PLE Researcher Policies

Please download and review the policies unique to researchers that work at PLE here.
VII.Signature Page

The page can be downloaded here
Please print a copy of the signature page, sign, scan, and attach here.

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