Personal Information:
Name:
Current (e.g.. School) Contact Information:
Optional Permanent or Alternate (eg. Home) Contact Information (if different
from above):
Status For Which You Are Applying (required): (You may check more
than one box if, for example, you are applying to the REU
program and to take a course).
Researcher - choose "type" of researcher:
MLBS course instructor
Visiting group leader (e.g. external programs / visiting field
trips)
Other (e.g. guest of station resident / childcare provider). Describe:
| Planned Arrival Date: |
Month:
Day:
Year:
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| Planned Departure Date: |
Month:
Day:
Year:
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Housing
Request: Apartments and cabins are reserved for faculty,
researchers, and families. Course and REU students are usually
assigned to undergraduate dorms. Cost varies with accommodation.
Housing requests or concerns (e.g. allergies, disabilities,
etc.):
Note:
Smoking is not permitted in any Mountain Lake labs or residential
buildings.
Sex (for dorm assignments):
Female
Male
How many will be in your party? Include mates, offspring, other
cohabitators, and yourself.
Names
and ages of accompanying party:
Station resident (if not you) responsible for paying your bill?
How did you learn about Mountain Lake? Check all that
apply.
Brochure, Poster or Display made available through my school.
Brochure sent directly to me.
Web site.
Current or former Mountain Lake student.
Current or former Mountain Lake faculty.
Instructor or Advisor.
On-line database or student opportunities clearing house.
If your have been to Mountain Lake Biological Station before, when? And in what capacity?
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For Researchers Only. Others Please Skip this Section.
Research
Activity:
Please paste in a copy of your CV, including a complete list
of publications:
Research Support:
MLBS has some funds to help cover field
station costs for graduate students and young faculty. To apply,
please include a brief support budget here (e.g. housing, research
fees, research expenses). MLBS has some funds to support pre-
and postdoctoral research. These scholarships typically range
from $350 to $2,000. Review of applications for research
support begins March 15. If you wish to be considered for
this in-house fellowship please paste in a budget for your support
request, and a list of current and pending support.
Please list any special equipment or facilities you will need access to. Also please identify lab space needs. e.g. How many people need to be housed in your lab?:
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Review Application and Continue:
- Review your application for completeness and accuracy before submitting.
- Make sure any required supplementary material reaches us by the deadline. Copies, faxes and scanned attachments are acceptable.
- After clicking "Submit" below you may continue on and complete the on-line"Field Station Risk Acknowledgement Application" (a liability waiver). This need not be done now, but it must be done before you arrive at the station. Remember to select the "animal use" option appropriate to your course, research, or activity.
- All correspondence with applicants will
be via email. Contact us if you need to correspond by some other means.
- Click "Submit" below now, and continue on to the Risk Acknowledgement section if you wish.
ACKNOWLEDGMENTS:
Please acknowledge "Mountain Lake Biological Station, University
of Virginia" in any publication, report, or electronic communication
in which work conducted at Mountain Lake is mentioned.
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