Research Permit Application

Please ensure you have read and understand all of the important details regarding the Parks’ Research Permit before proceeding.

* Required fields

*Applying for: New permit
Renewal of an existing permit
*First Name:
*Last Name:
Title:
*Address:
Address 2:
*City:
State / Province:
*Zip / Postal Code:
*Phone Number:
Cell Number:
*Email:
Additional Field Personnel Information
Names, Field Titles:
Contact Information of Associated Institution/Organization
Name of Institution / Organization:
Department or Group:
Address (if different from primary researcher contact's address):
Address 2:
City:
State / Province:
Zip / Postal Code:
Phone Number:
Fax Number:
List of Key Academic Partners:
If Student Research
If this is student research, you must provide the contact information of the advisor overseeing your project.
Advisor's Name:
Advisor's Affiliated Institution / Organization:
Advisor's Email:
Advisor's Phone:
Project Summary
*Title:
*Short summary of proposed research:
*Research Methodology:
Equipment
If you are leaving research equipment of any type (e.g., insect traps, site markers) please describe and submit a photo of the equipment so that our field staff will recognize these items and their purpose. Note that any equipment or markings (including flagging or stakes) left in a park must be clearly marked with your research permit number, or it will be subject to removal. All equipment and markings must be removed upon completion of the study.
List and describe equipment and materials to be used:
Attach Photo:
Collections
*Detail any expected collections and permits/approvals required. Please describe these in detail. Include in your description: the number of samples required, the amount contained in each sample, and the disposition of organisms/samples (i.e., retention by investigator, placement in Herbarium (name), museum (name), University (name), etc.). You are responsible for documenting your acquisition of all necessary state and institutional permits. State permits are required for the collection of any state or federally listed plants on public land, as well as the handling and capture of wildlife.
Plants:
Animals:
Other planned collections (i.e., soil samples, seeds, rocks, animal scat):
Project Time Line
*Describe the timing of your project. How long will you be doing research (days, months, years)? How frequently will you be visiting the site(s)? Please be as specific as possible.
Expected date of completion of field research:
Expected date results will be available:
Site(s) of Proposed Research
*Please list the name of the park(s) where you want to do your research.
We want to know specifically where within the park(s) you will be working. Please identify all the places where you will be doing research, how many there are, and describe them. Will they be on or off trail? Will GPS locations be collected? Please include a map if possible.
Attach Map (image or PDF):
Potential Site Impacts:
Supporting Documents
Full Description of Project (Word Document or PDF):
Federal Permit #:
Copy of Federal Permit (image, Word Document or PDF):
State Permit #:
Copy of State Permit (image, Word Document or PDF):
Copy of Institutional IACUC Approval (image, Word Document or PDF):
Copy of Advisor Approval / Support (Word Document or PDF):
Copy of Letters of Support (Word Document or PDF):
Additional Materials (Letter of Support from DEC, etc.) (image, Word Document or PDF):

Research Permit Application

Additional Field Personnel Information

Contact Information of Associated Institution/Organization

If Student Research

Project Summary

Equipment

Collections

Project Time Line

Site(s) of Proposed Research

Supporting Documents

Permits