Outreach Program Form

Please provide the following information. It will be used to help with scheduling and logistics. Some of it will also be used for the metrics selected to monitor the use and effectiveness of CBFS. Thank you.

Name of Program:

Gate Code: (if you do not have one, we will send you one)

Sponsoring Institution:

Date of Application:

Desired Date of Program:

Start Time:

End Time:

Person in Charge of Program (Group)

First Name:

Last Name:

Preferred Contact Method

Office Phone:

Cell Phone:

Email:

Mailing Address:

City:

State:

Zip Code:

Number of Students:

Grade Level:

Number of Females:

Number of Minorities:

Number of Handicapped:

Number of Vehicles Used for Transport: (Please Park near the Aquatics Facility)

Number of Students for Whom this is their First Field Experience:

Does anyone in the group have Basic Red Cross First Aid Training?

Will the group be eating at the field station?

Brief Description of Program: (Please be sure to include the desired outcome(s).)

Is there a specific location on the property where you wish to execute your program?

Yes No

If yes, please indicate where.

Important Information for Instructors

Please instruct students not to disturb the equipment that is in the field that may belong to other researchers.

Please stay clear of bird houses, unless they are clearly labeled “EBH” for Educational Bird House.

As part of our resource management philosophy CBFS is striving to provide access to abundant and diverse populations of fauna and flora. We are also working to protect and encourage populations that are sparse. Collecting specimens requires a Collection Permit.

Do not return and/or release live plants or animals into the wild populations without prior permission.

Please teach students to minimize habitat disturbances. Coverboards and pieces of tin are being placed along trails to facilitate observations of fossorial animals. We encourage everyone to look under them and report your observations. Ripping up rotting stumps and logs is prohibited. If you roll a log to look under it, please roll it back when you are finished.

No pets, no fires, no fireworks. Do not kill snakes. Shooting wildlife is prohibited.

CBFS is a natural area with all of the associated hazards. These include, but are not limited to; hazard trees, poisonous plants, venomous snakes, arthropods that sting and bite, diseased animals, poachers, potentially aggressive large mammals (feral dogs, hogs, etc.), tripping hazards, weather extremes, sharp objects, steep slopes, and flash floods. Dress properly and take appropriate precautions. Please make your students aware of these. If you need help with this or would like some training please contact Alan Byboth, Station Manager.