You may download the rtf version of the RNA Research Application Form, fill it out then email, fax, or mail completed application to the RNA Contact, or
Print the application below, then fax or mail completed application to the RNA Contact.
Research Natural Areas (RNA) Program
U.S. Forest Service
Eastern Region * Northern Research Station
APPLICATION FOR USE OF RESEARCH NATURAL AREAS
Date of submission:____________________________________
Activity title:_________________________________________
RNA name:__________________________________________
National Forest:______________________________________
Ranger District:______________________________________
Is RNA in (check one):
[ ] Wilderness
[ ] Wild and Scenic River
[ ] National Recreation Area
[ ] Not in Congressionally Designated Area
Applicant:
Name:____________________________________________
Title:_____________________________________________
Affiliation:_________________________________________
Major Advisor
(students only):____________________________________
Phone:_______________ email:_____________________
(1) ACTIVITY OBJECTIVES:
PLEASE ATTACH A COPY OF ACTIVITY PROPOSAL OR RESEARCH STUDY PLAN. (For limited studies, a 1-page proposal may be sufficient.)
(2) Proposed starting date of activity:_____________________
End Date:______________
(3) Anticipated period of entry in days, and number of people involved during what periods of entry, for activity (e.g. researcher and 4 assistants for 1 week):
(4) Is proposed activity in....(check all that apply)?
| [ ] Forest | [ ] Lake/Pond |
| [ ] Barrens / Savannah / Woodland | [ ] Stream/River |
| [ ] Grassland | [ ] Riparian |
| [ ] Cliff/Rock outcrop | [ ] Marsh/Bog |
| [ ] Dune/Beach | [ ] Other (specify):__________ |
| [ ] Alpine |
(5) Describe site or specific location of activity within the RNA, attaching a copy of USGS topographic MAP SHOWING LOCATION OF PROPOSED ACTIVITY. If the location is not yet known, indicate this here. Please provide a map as soon as the study location is selected.
(6) Give ecological unit for proposed activity (if known):
Land Type Association (LTA) :___________________________
Landtype (LT or ELT):__________________________________
Landtype Phase (LT or LTP):_____________________________
(7) Common/scientific name of plant(s), animal(s) proposed for study or collection:
(8) Anticipated number and distribution of plants, animals or other samples to be collected:
(9) Proposed final location of voucher specimens (plants, animals, soil samples, tree cores, etc.):
(10) Anticipated methods of proposed activity:
(11) Describe why this study should take place inside the RNA rathe than on a comparable adjacent area of the forest.
(12) List any equipment or chemicals to be used in proposed activity:
(13) Describe any permanent or temporary structures associated with the activity and indicate if they are to be temporary or permanent:
(14) Anticipated area to be disturbed and nature of disturbance:
(15) Describe any potential impacts to RNA ecosystems or organisms as a result of this proposed activity:
(16) Please give any additional information that could aid in the analysis of this proposal:
Attach additional pages as needed.
Signature of Applicant:_____________________________
Date:________________
Last Modified: 02/27/2007