Reservation Form

Today's Date

Your Name*

First Last

Email Address*

Gender*

Position/Level of education*

Advisor Name*

First Last

Affiliation*

UW-Madison Other - Dept Info*

Arrival Date*

Departure Date*

Do you need Housing?*

Yes
No

Hiring Assistant(s)*

If you answer yes, follow prompts below for #, name, email, gender, date(s).

Yes
No

Hiring Assistants - you have hired or will be hiring*

Known
Unknown (hires not complete yet)

Unknown Hiring Assistant(s) - hires not complete yet*

Enter number hiring.

Known Assistants (for name, email, gender & dates)*

Assistant 1

Assistant 1 Name*

First Last

Assistant 1 Email*

Assistant 1 Gender*

Assistant 1 Arrival Date

If different from date you listed being on station

Assistant 1 Departure Date

If different from date you listed being on station

Assistant 2

Assistant 2 Name*

First Last

Assistant 2 Email*

Assistant 2 Gender*

Assistant 2 Arrival Date

If different from date you listed being on station

Assistant 2 Departure Date

If differerent from date you listed being on station

Assistant 3

Assistant 3 Name*

First Last

Assistant 3 Email*

Assistant 3 Gender*

Assistant 3 Arrival Date

If different from date you listed being on station

Assistant 3 Departure Date

If different from date you listed being on station

Assistant 4

Assistant 4 Name*

First Last

Assistant 4 Email*

Assistant 4 Gender*

Assistant 4 Arrival Date

If different from date you listed being on station

Assistant 4 Departure Date

If different from date you listed being on station

Additional Info

Research Project Information*

Please give a one paragraph summary of your research project to be posted on our website. (Limit to 100 words).

Do you have a field research webpage url?*

Yes, I have a research website url
No, I do not have a research website url

Provide Field Research Webpage URL

The webpage you provide will be linked to your name on our Trout Lake Station Current Research webpage along with your research project information.

Lab Space Requirements*

Please include any specific needs.

Microscope(s) needed?*

Yes
No

Microscope types*

Dissecting scope with camera
Dissecting scope without camera
Compound scope
Inverted scope

Frequency - Dissecting scope with camera*

How often/long will you need to use the dissecting scope with camera?

Frequency - Dissecting scope without camera*

How often/long will you need to use the dissecting scope without camera?

Frequency - Compound Scope*

How often/long will you need to use the compound scope?

Frequency - Inverted scope*

How often/long will you need to use the inverted scope?

Equipment Type and Frequency (For example drying ovens, balances, gas chromatagraph etc.)*

Please include any specific needs.

Refrigerator and/or freezer needed?*

Refrigerator
Freezer
Neither

Frequency - Refrigerator*

Indicate amount of space and time needed.

Frequency - Freezer*

Indicate amount of space and time needed.

Vehicle(s) needed?*

Yes
No

Frequency - Vehicle(s)*

Please include number of days per week and number of weeks (and funding source, if known).

Boat(s) needed?*

Yes
No

Frequency - Boat(s)*

Please include number of days per week and number of weeks.

Field Equipment*

Please describe plans for deploying field equipment in the field.

Additional Information

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