Applicant Information Name * E-mail * UNH Status * - Select -FacultyGraduate StudentUndergraduate StudentPAT StaffOperating StaffTemporary/HourlyAlumniOtherNone Advisor Telephone * Vehicle Description with State and Plate # * Property Property Name * - Select -Bear Camp RiverBurley-DemerittBurnham LotCollege WoodsDavis ParkDavis-White LotDudley LotEast Foss FarmHorticulture FarmJones PropertyKingman FarmLord FarmLot 17 Range IIILovell RiverMacDonald LotMadison LotMendum's PondMoore FieldsSaddleback Mt.Squam LakeSystems FieldThompson FarmWellman ForrestWest Foss Farm Classes that will use this property [if applicable] Purpose of Activity [Research/Course/Other] * Course,Project or Activity Name/Title Date(s) * Type of Activity [survey,assessment,experiment/other] * Anticipated Number of Participants * Block Numbers Used Please indicate the grid numbers for the area you will be using on the property. Maps: College Woods East Foss Farm Horticulture Farm MacDonald Lot Thompson Farm West Foss Farm If a map is not shown for the property please attach one indicating the location you plan to use Upload Files must be less than 2 MB.Allowed file types: gif jpg jpeg png tif pdf. Second Property Property Name - None -Bear Camp RiverBurley-DemerittBurnham LotCollege WoodsDavis ParkDavis-White LotDudley LotEast Foss FarmHorticulture FarmJones PropertyKingman FarmLord FarmLot 17 Range IIILovell RiverMacDonald LotMadison LotMendum's PondMoore FieldsSaddleback Mt.Squam LakeSystems FieldThompson FarmWellman ForrestWest Foss Farm Classes that will use this property [if applicable] Purpose of Activity [Research/Course/Other] Course,Project or Activity Name/Title Date(s) Type of Activity [survey,assessment,experiment/other] Anticipated Number of Participants Block Numbers Used If a map is not shown for the property please attach one indicating the location you plan to use Upload Files must be less than 2 MB.Allowed file types: gif jpg jpeg png tif pdf. Third Property Property Name - None -Bear Camp RiverBurley-DemerittBurnham LotCollege WoodsDavis ParkDavis-White LotDudley LotEast Foss FarmHorticulture FarmJones PropertyKingman FarmLord FarmLot 17 Range IIILovell RiverMacDonald LotMadison LotMendum's PondMoore FieldsSaddleback Mt.Squam LakeSystems FieldThompson FarmWellman ForrestWest Foss Farm Classes that will use this property [if applicable] Purpose of Activity [Research/Course/Other] Course,Project or Activity Name/Title Date(s) Type of Activity [survey,assessment,experiment/other] Anticipated Number of Participants Block Numbers Used If a map is not shown for the property please attach one indicating the location you plan to use Upload Files must be less than 2 MB.Allowed file types: gif jpg jpeg png tif pdf. Fourth Property Property Name - None -Bear Camp RiverBurley-DemerittBurnham LotCollege WoodsDavis ParkDavis-White LotDudley LotEast Foss FarmHorticulture FarmJones PropertyKingman FarmLord FarmLot 17 Range IIILovell RiverMacDonald LotMadison LotMendum's PondMoore FieldsSaddleback Mt.Squam LakeSystems FieldThompson FarmWellman ForrestWest Foss Farm Classes that will use this property [if applicable] Purpose of Activity [Research/Course/Other] Course,Project or Activity Name/Title Date(s) Type of Activity [survey,assessment,experiment/other] Anticipated Number of Participants Block Numbers Used If a map is not shown for the property please attach one indicating the location you plan to use Upload Files must be less than 2 MB.Allowed file types: gif jpg jpeg png tif pdf. Fifth Property Property Name - None -Bear Camp RiverBurley-DemerittBurnham LotCollege WoodsDavis ParkDavis-White LotDudley LotEast Foss FarmHorticulture FarmJones PropertyKingman FarmLord FarmLot 17 Range IIILovell RiverMacDonald LotMadison LotMendum's PondMoore FieldsSaddleback Mt.Squam LakeSystems FieldThompson FarmWellman ForrestWest Foss Farm Classes that will use this property [if applicable] Purpose of Activity [Research/Course/Other] Course,Project or Activity Name/Title Date(s) Type of Activity [survey,assessment,experiment/other] Anticipated Number of Participants Block Numbers Used If a map is not shown for the property please attach one indicating the location you plan to use Upload Files must be less than 2 MB.Allowed file types: gif jpg jpeg png tif pdf. Sixth Property Property Name - None -Bear Camp RiverBurley-DemerittBurnham LotCollege WoodsDavis ParkDavis-White LotDudley LotEast Foss FarmHorticulture FarmJones PropertyKingman FarmLord FarmLot 17 Range IIILovell RiverMacDonald LotMadison LotMendum's PondMoore FieldsSaddleback Mt.Squam LakeSystems FieldThompson FarmWellman ForrestWest Foss Farm Classes that will use this property [if applicable] Purpose of Activity [Research/Course/Other] Course,Project or Activity Name/Title Date(s) Type of Activity [survey,assessment,experiment/other] Anticipated Number of Participants Block Numbers Used If a map is not shown for the property please attach one indicating the location you plan to use Upload Files must be less than 2 MB.Allowed file types: gif jpg jpeg png tif pdf. Seventh Property Property Name - None -Bear Camp RiverBurley-DemerittBurnham LotCollege WoodsDavis ParkDavis-White LotDudley LotEast Foss FarmHorticulture FarmJones PropertyKingman FarmLord FarmLot 17 Range IIILovell RiverMacDonald LotMadison LotMendum's PondMoore FieldsSaddleback Mt.Squam LakeSystems FieldThompson FarmWellman ForrestWest Foss Farm Classes that will use this property [if applicable] Purpose of Activity [Research/Course/Other] Course,Project or Activity Name/Title Date(s) Type of Activity [survey,assessment,experiment/other] Anticipated Number of Participants Block Numbers Used If a map is not shown for the property please attach one indicating the location you plan to use Upload Files must be less than 2 MB.Allowed file types: gif jpg jpeg png tif pdf. Eighth Property Property Name - None -Bear Camp RiverBurley-DemerittBurnham LotCollege WoodsDavis ParkDavis-White LotDudley LotEast Foss FarmHorticulture FarmJones PropertyKingman FarmLord FarmLot 17 Range IIILovell RiverMacDonald LotMadison LotMendum's PondMoore FieldsSaddleback Mt.Squam LakeSystems FieldThompson FarmWellman ForrestWest Foss Farm Classes that will use this property [if applicable] Purpose of Activity [Research/Course/Other] Course,Project or Activity Name/Title Date(s) Type of Activity [survey,assessment,experiment/other] Anticipated Number of Participants Block Numbers Used If a map is not shown for the property please attach one indicating the location you plan to use Upload Files must be less than 2 MB.Allowed file types: gif jpg jpeg png tif pdf. Ninth Property Property Name - None -Bear Camp RiverBurley-DemerittBurnham LotCollege WoodsDavis ParkDavis-White LotDudley LotEast Foss FarmHorticulture FarmJones PropertyKingman FarmLord FarmLot 17 Range IIILovell RiverMacDonald LotMadison LotMendum's PondMoore FieldsSaddleback Mt.Squam LakeSystems FieldThompson FarmWellman ForrestWest Foss Farm Classes that will use this property [if applicable] Purpose of Activity [Research/Course/Other] Course,Project or Activity Name/Title Date(s) Type of Activity [survey,assessment,experiment/other] Anticipated Number of Participants Block Numbers Used If a map is not shown for the property please attach one indicating the location you plan to use Upload Files must be less than 2 MB.Allowed file types: gif jpg jpeg png tif pdf. Tenth Property Property Name - None -Bear Camp RiverBurley-DemerittBurnham LotCollege WoodsDavis ParkDavis-White LotDudley LotEast Foss FarmHorticulture FarmJones PropertyKingman FarmLord FarmLot 17 Range IIILovell RiverMacDonald LotMadison LotMendum's PondMoore FieldsSaddleback Mt.Squam LakeSystems FieldThompson FarmWellman ForrestWest Foss Farm Classes that will use this property [if applicable] Purpose of Activity [Research/Course/Other] Course,Project or Activity Name/Title Date(s) Type of Activity [survey,assessment,experiment/other] Anticipated Number of Participants Block Numbers Used If a map is not shown for the property please attach one indicating the location you plan to use Upload Files must be less than 2 MB.Allowed file types: gif jpg jpeg png tif pdf. Eleventh Property Property Name - None -Bear Camp RiverBurley-DemerittBurnham LotCollege WoodsDavis ParkDavis-White LotDudley LotEast Foss FarmHorticulture FarmJones PropertyKingman FarmLord FarmLot 17 Range IIILovell RiverMacDonald LotMadison LotMendum's PondMoore FieldsSaddleback Mt.Squam LakeSystems FieldThompson FarmWellman ForrestWest Foss Farm Classes that will use this property [if applicable] Purpose of Activity [Research/Course/Other] Course,Project or Activity Name/Title Date(s) Type of Activity [survey,assessment,experiment/other] Anticipated Number of Participants Block Numbers Used If a map is not shown for the property please attach one indicating the location you plan to use Upload Files must be less than 2 MB.Allowed file types: gif jpg jpeg png tif pdf. Twelfth Property Property Name - None -Bear Camp RiverBurley-DemerittBurnham LotCollege WoodsDavis ParkDavis-White LotDudley LotEast Foss FarmHorticulture FarmJones PropertyKingman FarmLord FarmLot 17 Range IIILovell RiverMacDonald LotMadison LotMendum's PondMoore FieldsSaddleback Mt.Squam LakeSystems FieldThompson FarmWellman ForrestWest Foss Farm Classes that will use this property [if applicable] Purpose of Activity [Research/Course/Other] Course,Project or Activity Name/Title Date(s) Type of Activity [survey,assessment,experiment/other] Anticipated Number of Participants Block Numbers Used If a map is not shown for the property please attach one indicating the location you plan to use Upload Files must be less than 2 MB.Allowed file types: gif jpg jpeg png tif pdf. Additional Questions Will you use these properties as part of the described activities on an ongoing basis(yearly)? Yes No If Yes, Please Describe: Some individuals use UNH properties on an ongoing basis for many classes; it may be unrealistic to turn in a CRA form every semester. If you mark yes above, you only need to submit this form once. The Woodlands and Natural areas office will keep your information on file and contact you every two years for revisions or additions. Public Use of this information Yes, others may visit these/this location(s). No, I would prefer my site remain private for the duration of the approved period of use. The information submitted through this form is intended to aid in understanding, management, and protection of University properties. Because some sensitive areas may be disrupted by public visitation, it is your choice whether you would like your locations disclosed during the use period. Please indicate your preference above. 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