Application for Use of FIU Greenhouse Facilities

Name __________________________________________________________

Position_________________________________________________________

Responsible authority______________________________________________

Contact person ___________________________________________________

Department ______________________________________________________

Office phone _______________ FAX ___________________

e-mail: __________________

Project Title _____________________________________________________

or purpose ______________________________________________________

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Please attach outline of research project including growing plans and precise experimental protocol, use of chemicals, and safety considerations.

Anticipated space needs _____________________________________________

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Projected duration of space usage _______________________________________

Below dotted line - For greenhouse committee use

Project approved. Space assignment: ________________________________________

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Request denied. Reason: _________________________________________________

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