Institution

Department

Address

Person in Charge of Party

Title

Phone

Cell

Email Address(es)

Other Chaperones with Party

Total # of Students

# Men

# Women

Total # of Faculty/Chaperones

# Men

# Women

Arrival Date

Arrival Time

Departure Date

Departure Time

Facility Usage

Dormitory Facilities
Yes No

Linens(sheets/towels)
Yes No

Kitchen Facilities
Yes No

Meals
Yes No

Teaching Facilities
Yes No

If requesting skiffs or canoes, please complete the following:

1. Date(s) Requested:
   First Choice
   
   Second Choice
   
   
2. Destination & Activities
   
   
3. Sampling Gear Requirements
   

Research Vessel Reservations

Dale Fremin (dale.fremin@ums.edu)
(228) 872-4256

For more information about the research vessels R/V Tommy Munro, R/V Hermes, or R/V Tom McIlwain, go to:

http://www.usm.edu/gcrl/research_vessels/index.php

GCRL Campus Tour

If your group would like an informal tour of the GCRL campus, please specify date, length of tour and any research area(s) of particular interest.

Date

Length of Tour (hours)

Areas of Interest

Please be advised that the Gulf Coast Research Laboratory is committed to a drug-free workplace. The GCRL workplace encompasses, but is not limited to it’s campus, classrooms, laboratories, dormitories and vessels. In order to achieve and maintain a drug-free policy, zero tolerance is a condition for this request by field trip groups for use of GCRL facilities.

Therefore, your signature on this "Request for Field Trip Accommodations“ is an agreement that neither you nor any member of your party will possess, use, sell or be under the influence of illegal drugs while utilizing GCRL facilities or it’s vessels. Furthermore, you are responsible for informing members of your party about this policy.