Applicant Information Name E-mail UNH Status -Select-FacultyGraduate StudentUndergraduate StudentStaffOperating StaffTemporary/HourlyAlumniOtherNone Advisor Telephone Vehicle Description with State and Plate # Property Property Name -Selection-Bear Camp RiverBurley-Demeritt Burnham 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 One file only.2 MB limit.Allowed types: gif, jpg, jpeg, png. Do you need another property? Yes No Second Property Property Name - None -Bear Camp RiverBurley-Demeritt Burnham 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 One file only.2 MB limit.Allowed types: gif, jpg, jpeg, png. Do you need another property? Yes No Third Property Property Name - None -Bear Camp RiverBurley-Demeritt Burnham 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 One file only.2 MB limit.Allowed types: gif, jpg, jpeg, png. Do you need another property? Yes No Fourth Property Property Name - None -Bear Camp RiverBurley-Demeritt Burnham 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 One file only.2 MB limit.Allowed types: gif, jpg, jpeg, png. Do you need another property? Yes No Fifth Property Property Name - None -Bear Camp RiverBurley-Demeritt Burnham 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 One file only.2 MB limit.Allowed types: gif, jpg, jpeg, png. 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. CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.