ࡱ>  Root Entry F EL@Data 61TablebWordDocument|0  !"#$%&'()*+,-./&12345789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~ >*B* ,@,Header  !, @",Footer  !&)@1& Page Number!jz    h !O'678XE9:[\]>?@fgh<=>?@Afm \ + , - a b c    7 8 9 t w $n9`JS)mL  = R h !h h000hx#!v!v!x#!x#!x#!!$!!!$!! !$!! !$!! ! [4@4NormalCJOJQJkH'mH <A@<Default Paragraph Font(U@( Hyperlink>*B*8V@8FollowedHyperlink>*B* ,@,Header  !, @",Footer  !&)@1& Page Number!j,j    b !O'678X?34UVW89:`ab6789:;y`g V % & ' [ \ ] 1 2 3 n q  h3ZDM#gF  7 L b !h h000hx#!v!v!x#!x#!x#!!$!!!$!! !$!! !$!! !$!!!$!!>!!$!!!!x#PSN!$!$!hC$!!$!!$|present or future long-term use of Preserve for research or instructional purposes; compliance with state and federal law and any stated Preserve research policies; scientific merit and feasibility; funding constraints; potential conflicts with on-going Preserve research programs; and availability of alternative sites. Please type or print clearly.)  FORMTEXT        6. CONTRACT/GRANT INFORMATION: (Please check all that apply to your project)  FORMCHECKBOX  PROJECT IS SELF-FUNDED.  FORMCHECKBOX  PROJECT IS CURRENTLY BEING SUPPORTED BY A CONTRACT(S) OR GRANT(S)  FORMCHECKBOX  A CONTRACT(S) OR GRANTS(S) APPLICATION HAS BEEN SUBMITTED BUT HAS NOT YET BEEN APPROVED.  FORMCHECKBOX  A CONTRACT(S) OR GRANT(S) APPLICATION WILL BE SUBMITTED IN THE FUTURE. If this project is currently being supported by a contract(s) or grant(s), please complete the following for each award received (attach additional sheets, if needed). If you receive funding for your project in the future, please update the Preserve Director. PRINCIPAL INVESTIGATOR:  FORMTEXT      PI S AFFILIATION (Do not abbreviate): FORMTEXT      SPONSOR (Do not abbreviate):  FORMTEXT      AWARD AMOUNT: DATE AWARD GRANTED:  FORMTEXT      DATE AWARD GRANTED: FORMTEXT      PROJECT DURATION DATES (Month/year to month/year):  FORMTEXT      GRANT NUMBER:  FORMTEXT      FULL PROJECT TITLE (Do not truncate): FORMTEXT       7. PERMIT REQUIREMENTS Please read and answer the following items carefully. Researchers will not be allowed access to the Preserve until they obtain the appropriate permit(s), or the Preserve has been informed by the agency(ies) involved that no permits are required for the project described in this application. It is the user's responsibility to obtain the appropriate permit(s) and to and provide the Preserve Director with a copy. Please discuss permit requirements with the Preserve Director. A) Does your project involve vertebrate animals?  FORMCHECKBOX  Yes  FORMCHECKBOX  No If Yes, indicate all that apply:  FORMCHECKBOX  Reptile  FORMCHECKBOX  Amphibian  FORMCHECKBOX  Fish  FORMCHECKBOX  Bird  FORMCHECKBOX  Mammal Will any animal be captured?  FORMCHECKBOX  Yes  FORMCHECKBOX  No Will any animal be held longer than 12 hours?  FORMCHECKBOX  Yes  FORMCHECKBOX  No Will any animal be held longer than 24 hours?  FORMCHECKBOX  Yes  FORMCHECKBOX  No Will any birds be banded and/or color marked?  FORMCHECKBOX  Yes  FORMCHECKBOX  No Will any animal's skin be broken (needles, tags, surgery, etc.)?  FORMCHECKBOX  Yes  FORMCHECKBOX  No Will any animal's movement in the environment be restricted?  FORMCHECKBOX  Yes  FORMCHECKBOX  No Is there potential for any animal's behavior to be altered?  FORMCHECKBOX  Yes  FORMCHECKBOX  No If this is a renewal, has there been any change in the project?  FORMCHECKBOX  Yes  FORMCHECKBOX  No  FORMCHECKBOX  N/A Before beginning a research project involving the use of vertebrate animals, you must receive approval from the animal care committee at your home institution. (This is often the same committee that oversees the care of laboratory animals.) Please append written approval to this application. B) Does your project involve collecting (including banding and/or color marking) vertebrate wild animals?  FORMCHECKBOX  Yes  FORMCHECKBOX  No If Yes, you will need to obtain a scientific collecting permit from the California Department of Fish and Game. Please append permit. Does your project involve the collection, banding, and/or color marking of birds?  FORMCHECKBOX  Yes  FORMCHECKBOX  No If "Yes," you will need a federal permit from the U.S. Fish and Wildlife Service. Please append permit. Does your project involve working with plants or animals that are California state listed species of special concern, threatened, or endangered species?  FORMCHECKBOX  Yes  FORMCHECKBOX  No If "Yes," you will need to obtain a memorandum of understanding (MOU) from the California Department of Fish and Game. Please append permit. Does your project involve working with plants or animals that are Federally listed threatened or endangered species?  FORMCHECKBOX  Yes  FORMCHECKBOX  No If "Yes," you need to obtain a federal permit from the U.S. Fish and Wildlife Service. Please append permit. PERMITS CAN TAKE AT LEAST 30 DAYS TO BE APPROVED, SO CALL IMMEDIATELY FOR AN APPLICATION. 8. IN CASE OF EMERGENCY: Contact:  FORMTEXT      Phone:  FORMTEXT      9. FAIRFIELD OSBORN PRESERVE POLICIES " If the research application is approved, the user must comply with all applicable regulations and provide all required state and federal permits. Researchers must notify the Preserve office (707.795.5069) before visits and park inside the Preserve. Researchers agree not to collect samples or souvenirs, or to disturb organisms or archeological sites unless expressly allowed under the terms of the research application. Camping and building of fires are not allowed on the property. All publications resulting from the use of Fairfield Osborn Preserve must acknowledge Sonoma State University and the Preserve. Please submit two copies of all publications (only one bound copy of a thesis or dissertation is required) to the Preserve Director. Domestic animals are not permitted at the Preserve, unless they are part of an approved research project or are necessary to help a disabled user. Please notify the Preserve Manager if you have a special need. Firearms and weapons are forbidden at Fairfield Osborn Preserve. All users are requested to leave the land and any facilities cleaner than you found them. At the completion of the project, all evidence will be completely removed from the Preserve, unless written approval is granted. I have read and agree to abide by the use policies listed above, and am aware that it is my responsibility to disseminate this information to all members of my party.  FORMTEXT       FORMTEXT      Applicant s Signature* Date  FORMTEXT       FORMTEXT      Preserve Director s Approval Date * Receipt of application via email is comparable to applicant s signature. 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Nathan Rank2Macintosh HD:Temporary Items:Word Work File A 2150 Nathan Rank<Macintosh HD:Temporary Items:AutoRecovery save of research aFacultyIssu stuff 2:Osborn preserve:research applications:research application NRFaculty7ssu stuff 2:Osborn preserve:preserve html:rshappFOP.docFaculty7ssu stuff 2:Osborn preserve:preserve html:rshappFOP.docFaculty7ssu stuff 2:Osborn preserve:preserve html:rshappFOP.dotFaculty7ssu stuff 2:Osborn preserve:preserve html:rshappFOP.dotFaculty7ssu stuff 2:Osborn preserve:preserve html:rshappFOP.dotFaculty7ssu stuff 2:Osborn preserve:preserve html:rshappFOP.dotN RankGMac OS 9:Desktop Folder:Documents:FOP Web pages:documents:rshappfop.dothh5o(.@ PPCPPCJ0PUty|%&:CDQSX6;^c49   !67^c  } ~  l m # ( Y ^  / 4 l q   23OPgh23TUkl/0FG}~16    K P ` e !!!!!!01|01 |011j11(1j1j1j1j1j1k1 k1p1$k1&k1Dk1Fk1Jk1Lk1Nk1^k11|z1z111`k01bk0.01|0d1|001(|0B12|01<|0* 1F|0z 1P|0 eCheck34vDeCheck33vDeCheck34vDText30vDTe1p01p01p0f1p001p0N1p01q004@1 q17@1 q07@1q1L8@1q08@1q18@1q19@1q049@1q19@1q09@1q1l:@1q0:@1 q1<;@1"q0j;@1$q1;@1&q0(<@1(q1<@1*q0 =@1,q1=@1.q0=@10q1>@12q0>@14q1v?@16q1?@18q0?@xt31vDText32vDText33vDText34vDText35DyK rank@sonoma.eduyK .mailto:rank@sonoma.eduDyK yK .mailto:rank@sonoma.eduvDeCheck41vD   '()*+,-./01231:q10C@1q1NE@1@q0|E@1Bq1G@1Dq0G@1Fq1*J@1Hq0XJ@0&1Jq0h&1Tq0&0P@1^q0 .1hq04.1rq0.1|q0.0.`@0/0`@1z0$`@0,`@0.`@GTimes New Roman5Symbol3 Arial3Times9Palatino"1hSTFFTF} 80d FAIRFIELD OSBORN PRESERVEFairfield Osborne PreserveN Rank>0d  FAIRFIELD OSBORN PRESERVEFairfield Osborne PreserveFaculty [4@4NormalCJOJQJkH'mH <A@<Default Paragraph Font(U@( Hyperlink>*B*8V@8FollowedHyperlinkueCheck23vDeCheck24vDeCheck25vDeCheck26vDeCheck27vDeCheck28vDeCheck29vDeCheck30vDeCheck33vDeCheck34vDeCheck33vDeCheck34vDeCheck33vDeCheck34vDeCheck33vDeCheck34DyK yK Fmailto:fairfield.osborn@sonoma.ed  SummaryInformation( DocumentSummaryInformation8CompObjXObjectPoolFairfield Osborne Preserve0airrshappfop.dotrnN Ranko6RaMicrosoft Word 8.0r@V@h@n@0D7M}x FMicrosoft Word DocumentNB6WWord.Document.8 ՜.+,D՜.+,X hp  'Sonoma State University8   FAIRFIELD OSBORN PRESERVE Title, 8@ _PID_HLINKS'A D: #mailto:fairfield.osborn@sonoma.eduxOzmailto:rank@sonoma.edu Oh+'0 , H T ` lx'FAIRFIELD OSBORN PRESERVE0AIRs M0jbjb |kk C]1222222AAA8A|tBd:*_$C*BGXGXGXGXG dKxM "V$V$V$V$V$V$V,N`BbPV2NXGXGNNPVTP22XGXGB$TPTPTPN2XG2XG"V2,2,2222N"VTPXTPUV22"VBx/F:&A OHV Fairfield Osborn Preserve Research Use Application DATE SENT: FORMTEXT      DATE RECEIVED: FORMTEXT      Please submit completed application via email to Preserve Manager, at  HYPERLINK mailto:pgconnors@ucdavis.edu fairfield.osborn@sonoma.edu Or mail to: Manager, Fairfield Osborn Preserve, 6543 Lichau Road, Penngrove, CA, 94951 Phone: (707) 795 5069 1. APPLICANT INFORMATION: APPLICANT:  FORMTEXT      APPLICANT S TITLE OR ACADEMIC STATUS:  FORMTEXT      ADVISOR (If applicable): FORMTEXT      INSTITUTION (Do not abbreviate):  FORMTEXT      DEPARTMENT (Do not abbreviate):  FORMTEXT      OFFICE ADDRESS:  FORMTEXT      CITY/STATE/ZIP:  FORMTEXT      OFFICE PHONE: FORMTEXT       OFFICE FAX: FORMTEXT      EMAIL: FORMTEXT       2. PROJECT DURATION DATES (Month/year to month/year): FORMTEXT       3. REQUESTED ARRIVAL AND DEPARTURE DATES (Exact dates of use) FORMTEXT       4. FULL PROJECT/THESIS TITLE (Do not truncate): FORMTEXT       IF FOR DEGREE:  FORMCHECKBOX  BA  FORMCHECKBOX  MA  FORMCHECKBOX  Ph.D. Advisor s Name: FORMTEXT       STATEMENT OF PROPOSED RESEARCH PROJECT. (Include location of field areas, animal and plant populations that may be affected by the proposed research (maps available upon request), and any other resources needed during the project. Any potential disturbances to the Preserves ecosystem or cultural resources, including all experimental manipulations, collections, and the introduction of any species or genotypes, must be clearly described. The application will be evaluated using the following considerations: potential impacts to natural systems; potential impacts to 1 1Z|0 1d|0X 1n|0 1x|0& 1|0 0 1|0t 1|1 1|1 1|0" 1|0z 0@1|0 1|01|0,1|10(@1|0(@1|0 1|01|01|0f1|001|0N1|01|004@1}17@1 }07@1 }1L8@1}08@1}18@1}19@"#$%45689:;!=>@ABDEFGHIJLMNOPQRSTUVWX?1}049@1}19@1}09@1}1l:@1}0:@1}1<;@1 }0j;@1"}1;@1$}0(<@1&}1<@1(}0 =@1*}1=@1,}0=@1.}1>@10}0>@12}1v?@14}1?@16}0?@18}10C@1:}0^C@1<}1NE@1>}0|E@1@}1G@1B}0G@1D}1*J@1F}0XJ@0&1H}0h&1R}0&0P@1\}0 .1f}04.1p}0.1z}0.0.`@0/0`@1}0$`@0,`@0.`@GTimes New Roman5Symbol3 Arial3Times9Palatino"qhSTFFTF} 8>0d  FAIRFIELD OSBORN PRESERVEFairfield Osborne PreserveN Rank0Tablec FAIRFIELD OSBORN PRESERVEFairfield Osborne PreserveFaculty [4@4NormalCJOJQJkH'mH <A@<Default Paragraph Font(U@( Hyperlink>*B*8V@8FollowedHyperlink>*B* ,@,Header  eCheck2tDeCheck3tDeCheck4tDeCheck9vDeCheck10vDeCheck31vDeCheck32vDeCheck11vDeCheck12vDeCheck13vDeCheck14vDeCheck15vDeCheck16vDeCheck17vDeCheck18vDeCheck19vDeCheck20vDeCheck21vDeCheck22vDeCheck23vDeCheck24vDeCheck25vD###%%%%%%%+%,%-%%(&D&F&Z&\&^&h&j&|&~&&&&&&&&f, -----. . .߻߭ߒ߻ߋ߀rejCJOJQJUmHj#CJOJQJUjCJOJQJU CJOJQJjCJOJQJUjCJOJQJUmHj7CJOJQJU5CJOJQJjCJOJQJUjKCJOJQJU CJOJQJjCJOJQJUjCJOJQJU'%%,&.&D&l&|&&&&d)m*C++f, --..8.x6$$l\D)$ x^&h&l&|&&&&&&d)m*C++f, --..8.:.x.z.....///00000000 $ ....&.(.*.4.6.8.:.z.|................///00 0 000000000jj"kwjCJOJQJU0JCJOJQJmH0JCJOJQJj0JCJOJQJUOJQJ CJOJQJjCJOJQJUjCJOJQJUjCJOJQJUmHjCJOJQJUjCJOJQJU>*CJOJQJ CJOJQJ-8.:.x.z.....//000000>lqxz$ $+$$lF)* 00P/ =!"#$%|PHH(FP(PHH(d'd"r8sendto Preserve Director ( HYPERLINK mailto:rank@sonoma.edu rank@sonoma.edu) & Manager ()Nathan Rank, Department of Biology, Sonoma State University, Rohnert Park CA 94928, with a copy to Preserve 4 "k$k&kDkFk:llppppppppppppp q qʽzl^PBjCJOJQJUjCJOJQJUjCJOJQJUj3CJOJQJUjCJOJQJUjICJUjCJUj]CJUjCJUmHjCJOJQJUjCJOJQJUmHOJQJ0JCJOJQJmH CJOJQJ0JCJjCJOJQJUjCJOJQJU                                                                                                                                                           4 qqqqqqqqqq q"q$q&q(q*qǹseWI;-jwCJOJQJUjCJOJQJUjCJOJQJUjCJOJQJUjCJOJQJUj)CJOJQJUjCJOJQJUj=CJOJQJUjCJOJQJUjQCJOJQJUjCJOJQJUjeCJOJQJUjCJOJQJUjyCJOJQJUjCJOJQJU*q,q.q0q2q4q6q8q:qq@qBqDqFqHqǹseWI;-jaCJOJQJUjCJOJQJUjuCJOJQJUjCJOJQJUjCJOJQJUjCJOJQJUjCJOJQJUj'CJOJQJUjCJOJQJUj;CJOJQJUjCJOJQJUjOCJOJQJUjCJOJQJUjcCJOJQJUjCJOJQJUHqJq^qqqqxxzzzzjMCJOJQJU CJOJQJOJQJ0JCJOJQJmHjCJOJQJUmHjCJOJQJUmHjCJOJQJU 4 |PHH(FP(PHH(d'd"r8HYPERLINK "mailto:fairfield.osborn@sonoma.edu"4 eCheck26vDeCheck27vDeCheck28vDeCheck29vDeCheck30vDeCheck33vDeCheck34vDeCheck33vDeCheck34vDeCheck33vDeCheck34vDeCheck33vDeCheck34eCheck23vDeCheck24vDeCheck25vDeCheck26vDeCheck27vDeCheck28vDeCheck29vDeCheck30vDeCheck33vDeCheck34vDeCheck33vDeCheck34vDeCheck33vDeCheck34vDeCheck33vDeCheck34DyK yK Fmailto:fairfield.osborn@sonoma.eduvDeCheck41vDeCheck42vDeCheck43tDeCheck1tD FMicrosoft Word DocumentNB6WWord.Document.8 ՜.+,D՜.+,X hp  'Sonoma State University8   FAIRFIELD OSBORN PRESERVE Title, 8@ _PID_HLINKS'A D: #mailto:fairfield.osborn@sonoma.eduxOzmailto:rank@sonoma.edu Oh+'0 , H T ` lx'FAIRFIELD OSBORN PRESERVE0AIRFairfield Osborne Preserve0airrshappfop.dotrnN Ranko7RaMicrosoft Word 8.0r@V@h@n@vh7M}x                                                                                                                                                           4 } }}}}}}}}}} }"}$}&}(}ǹseWI;-jCJOJQJUjCJOJQJUj2CJOJQJUjCJOJQJUjFCJOJQJUjCJOJQJUjZCJOJQJUjCJOJQJUjnCJOJQJUjCJOJQJUjCJOJQJUj CJOJQJUjCJOJQJUj CJOJQJUjCJOJQJU(}*},}.}0}2}4}6}8}:}<}>}@}B}D}F}ǹseWI;-j CJOJQJUjCJOJQJUjCJOJQJUjCJOJQJUj0CJOJQJUjCJOJQJUjDCJOJQJUjCJOJQJUjXCJOJQJUjCJOJQJUjlCJOJQJUjCJOJQJUjCJOJQJUj CJOJQJUjCJOJQJUF}H}\}}}}OJQJ0JCJOJQJmHjCJOJQJUmHjCJOJQJUmHj~ CJOJQJUs ]0jbjb kk C]0^2^2^2^2^22BBB8CCdn:H`$ND*xHHHHH LN @WBWBWBWBWBWBW,la`cnW^2OHHOOnWrQ^2^2HH*D$rQrQrQO|^2H^2H@Wr2,2,^2^2^2^2O@WrQXrQV W^2^2@WD/Fn:pB6P<8W Fairfield Osborn Preserve Research Use Application DATE SENT: FORMTEXT      DATE RECEIVED: FORMTEXT      Please submit completed application via email to Preserve Manager, at  HYPERLINK mailto:pgconnors@ucdavis.edu fairfield.osborn@sonoma.edu Or mail to: Manager, Fairfield Osborn Preserve, 6543 Lichau Road, Penngrove, CA, 94951 Phone: (707) 795 5069 1. APPLICANT INFORMATION: APPLICANT:  FORMTEXT      APPLICANT S TITLE OR ACADEMIC STATUS:  FORMTEXT      ADVISOR (If applicable): FORMTEXT      INSTITUTION (Do not abbreviate):  FORMTEXT      DEPARTMENT (Do not abbreviate):  FORMTEXT      OFFICE ADDRESS:  FORMTEXT      CITY/STATE/ZIP:  FORMTEXT      OFFICE PHONE: FORMTEXT       OFFICE FAX: FORMTEXT      EMAIL: FORMTEXT       2. PROJECT DURATION DATES (Month/year to month/year): FORMTEXT       3. REQUESTED ARRIVAL AND DEPARTURE DATES (Exact dates of use) FORMTEXT       4. FULL PROJECT/THESIS TITLE (Do not truncate): FORMTEXT       IF FOR DEGREE:  FORMCHECKBOX  BA  FORMCHECKBOX  MA  FORMCHECKBOX  Ph.D. Advisor s Name: FORMTEXT       STATEMENT OF PROPOSED RESEARCH PROJECT. (Include location of field areas, animal and plant populations that may be affected by the proposed research (maps available upon request), and any other resources needed during the project. Any potential disturbances to the Preserves ecosystem or cultural resources, including all experimental manipulations, collections, and the introduction of any species or genotypes, must be clearly described. The application will be evaluated using the following considerations: potential impacts to natural systems; potential impacts to ###%%%%%%%+%,%-%%(&D&F&Z&\&^&h&j&|&~&&&&&&&&f, -----. . .߻߭ߒ߻ߋ߀rejCJOJQJUmHj#CJOJQJUjCJOJQJU CJOJQJjCJOJQJUjCJOJQJUmHj7CJOJQJU5CJOJQJjCJOJQJUjKCJOJQJU CJOJQJjCJOJQJUjCJOJQJU'%%,&.&D&l&|&&&&d)m*C++f, --..8.x6$$l\D)$ x^&h&l&|&&&&&&d)m*C++f, --..8.:.x.z.....///00000000 $ ....&.(.*.4.6.8.:.z.|................///00 0 000000000jj"kwjCJOJQJU0JCJOJQJmH0JCJOJQJj0JCJOJQJUOJQJ CJOJQJjCJOJQJUjCJOJQJUjCJOJQJUmHjCJOJQJUjCJOJQJU>*CJOJQJ CJOJQJ-8.:.x.z.....//000000>lqxz}$ $+$$lF)* 00P/ =!"#$%|PHH(FP(PHH(d'd"r8sendto Preserve Director ( HYPERLINK mailto:rank@sonoma.edu rank@sonoma.edu) & Manager ()Nathan Rank, Department of Biology, Sonoma State University, Rohnert Park CA 94928, with a copy to Preserve 4 "k$k&kDkFk:llppppppppppppp q qʽzl^PBjCJOJQJUjCJOJQJUjCJOJQJUj3CJOJQJUjCJOJQJUjICJUjCJUj]CJUjCJUmHjCJOJQJUjCJOJQJUmHOJQJ0JCJOJQJmH CJOJQJ0JCJjCJOJQJUjCJOJQJU                                                                                                                                                           4 qqqqqqqqqq q"q$q&q(q*qǹseWI;-jwCJOJQJUjCJOJQJUjCJOJQJUjCJOJQJUjCJOJQJUj)CJOJQJUjCJOJQJUj=CJOJQJUjCJOJQJUjQCJOJQJUjCJOJQJUjeCJOJQJUjCJOJQJUjyCJOJQJUjCJOJQJU*q,q.q0q2q4q6q8q:qq@qBqDqFqHqǹseWI;-jaCJOJQJUjCJOJQJUjuCJOJQJUjCJOJQJUjCJOJQJUjCJOJQJUjCJOJQJUj'CJOJQJUjCJOJQJUj;CJOJQJUjCJOJQJUjOCJOJQJUjCJOJQJUjcCJOJQJUjCJOJQJUHqJq^qqqqxxzzzz|||||||||||} }䩟}oaSEj6CJOJQJUjCJOJQJUjNCJOJQJUjCJOJQJUjfCJOJQJUjCJUjzCJUjCJUjCJUmHjMCJOJQJU CJOJQJOJQJ0JCJOJQJmHjCJOJQJUmHjCJOJQJUmHjCJOJQJU4 |PHH(FP(PHH(d'd"r8HYPERLINK "mailto:fairfield.osborn@sonoma.edu"4