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Peerside Expression of Interest
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Honoring the Ocean
About FIO
Our Vision / Mission
History
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Council Governance
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News
Vessels in the News
Media Contact
Tag Map
Giving Opportunities
Credit Attribution & Photo Policies
Retired Vessels
Employment
Annual Report Archive
Forms
Contact Us
Vessels & ROV
R/V Hogarth
R/V Weatherbird II
R/V Western Flyer
ROV Taurus
Keys Marine Lab
About KML
KML Team
Strategic Plan
History of the Lab
KML Future
KML Booking Information
KML Reservations
KML Rates, Forms & Info
Permitting and IACUC
KML Health & Safety Information
KML Resources
Housing & Dorms
Vessel Fleet
Seawater Systems, Shallows, & Wet Lab
KML Weather Station
KML Services
Diving & Snorkeling
Nearby Habitats
Specimen Collections
Living Laboratory
KML Testimonials
Donations to KML
Research Programs
FLRACEP Centers of Excellence
Florida Coastal Mapping Program
Peerside
Peerside Expression of Interest
Peerside Advisory Group
Peerside Advisory Group Alumni
Education
Multi-Institution Courses
Educational & Community Outreach
Honoring the Ocean
Facilities Use Request Form (FURF)
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
This KML Facility Use Request Form (FURF) serves as your contract with Keys Marine Laboratory and the Florida Institute of Oceanography at University South Florida for goods and services provided. FOR CANCELLATIONS WITH LESS THAN 30 DAYS NOTICE, FULL BOOKING RESERVATION WILL BE DUE
*
Agree
Today's Date
*
Principal Investigator (PI)
*
First
Last
Email
*
Affiliation
*
Co-PI or Collaborator
First
Last
Affiliation
Address
*
Address Line 1
Address Line 2
City
— Select state —
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
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Mississippi
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New Jersey
New Mexico
New York
North Carolina
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Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Primary Contact Number
*
United States +1
United States
+1
United Kingdom
+44
Afghanistan
+93
Åland Islands
+358
Albania
+355
Algeria
+213
American Samoa
+1
Andorra
+376
Angola
+244
Anguilla
+1
Antigua & Barbuda
+1
Argentina
+54
Armenia
+374
Aruba
+297
Ascension Island
+247
Australia
+61
Austria
+43
Azerbaijan
+994
Bahamas
+1
Bahrain
+973
Bangladesh
+880
Barbados
+1
Belarus
+375
Belgium
+32
Belize
+501
Benin
+229
Bermuda
+1
Bhutan
+975
Bolivia
+591
Bosnia & Herzegovina
+387
Botswana
+267
Brazil
+55
British Indian Ocean Territory
+246
British Virgin Islands
+1
Brunei
+673
Bulgaria
+359
Burkina Faso
+226
Burundi
+257
Cambodia
+855
Cameroon
+237
Canada
+1
Cape Verde
+238
Caribbean Netherlands
+599
Cayman Islands
+1
Central African Republic
+236
Chad
+235
Chile
+56
China
+86
Christmas Island
+61
Cocos (Keeling) Islands
+61
Colombia
+57
Comoros
+269
Congo - Brazzaville
+242
Congo - Kinshasa
+243
Cook Islands
+682
Costa Rica
+506
Côte d’Ivoire
+225
Croatia
+385
Cuba
+53
Curaçao
+599
Cyprus
+357
Czechia
+420
Denmark
+45
Djibouti
+253
Dominica
+1
Dominican Republic
+1
Ecuador
+593
Egypt
+20
El Salvador
+503
Equatorial Guinea
+240
Eritrea
+291
Estonia
+372
Eswatini
+268
Ethiopia
+251
Falkland Islands
+500
Faroe Islands
+298
Fiji
+679
Finland
+358
France
+33
French Guiana
+594
French Polynesia
+689
Gabon
+241
Gambia
+220
Georgia
+995
Germany
+49
Ghana
+233
Gibraltar
+350
Greece
+30
Greenland
+299
Grenada
+1
Guadeloupe
+590
Guam
+1
Guatemala
+502
Guernsey
+44
Guinea
+224
Guinea-Bissau
+245
Guyana
+592
Haiti
+509
Honduras
+504
Hong Kong SAR China
+852
Hungary
+36
Iceland
+354
India
+91
Indonesia
+62
Iran
+98
Iraq
+964
Ireland
+353
Isle of Man
+44
Israel
+972
Italy
+39
Jamaica
+1
Japan
+81
Jersey
+44
Jordan
+962
Kazakhstan
+7
Kenya
+254
Kiribati
+686
Kosovo
+383
Kuwait
+965
Kyrgyzstan
+996
Laos
+856
Latvia
+371
Lebanon
+961
Lesotho
+266
Liberia
+231
Libya
+218
Liechtenstein
+423
Lithuania
+370
Luxembourg
+352
Macao SAR China
+853
Madagascar
+261
Malawi
+265
Malaysia
+60
Maldives
+960
Mali
+223
Malta
+356
Marshall Islands
+692
Martinique
+596
Mauritania
+222
Mauritius
+230
Mayotte
+262
Mexico
+52
Micronesia
+691
Moldova
+373
Monaco
+377
Mongolia
+976
Montenegro
+382
Montserrat
+1
Morocco
+212
Mozambique
+258
Myanmar (Burma)
+95
Namibia
+264
Nauru
+674
Nepal
+977
Netherlands
+31
New Caledonia
+687
New Zealand
+64
Nicaragua
+505
Niger
+227
Nigeria
+234
Niue
+683
Norfolk Island
+672
North Korea
+850
North Macedonia
+389
Northern Mariana Islands
+1
Norway
+47
Oman
+968
Pakistan
+92
Palau
+680
Palestinian Territories
+970
Panama
+507
Papua New Guinea
+675
Paraguay
+595
Peru
+51
Philippines
+63
Poland
+48
Portugal
+351
Puerto Rico
+1
Qatar
+974
Réunion
+262
Romania
+40
Russia
+7
Rwanda
+250
Samoa
+685
San Marino
+378
São Tomé & Príncipe
+239
Saudi Arabia
+966
Senegal
+221
Serbia
+381
Seychelles
+248
Sierra Leone
+232
Singapore
+65
Sint Maarten
+1
Slovakia
+421
Slovenia
+386
Solomon Islands
+677
Somalia
+252
South Africa
+27
South Korea
+82
South Sudan
+211
Spain
+34
Sri Lanka
+94
St. Barthélemy
+590
St. Helena
+290
St. Kitts & Nevis
+1
St. Lucia
+1
St. Martin
+590
St. Pierre & Miquelon
+508
St. Vincent & Grenadines
+1
Sudan
+249
Suriname
+597
Svalbard & Jan Mayen
+47
Sweden
+46
Switzerland
+41
Syria
+963
Taiwan
+886
Tajikistan
+992
Tanzania
+255
Thailand
+66
Timor-Leste
+670
Togo
+228
Tokelau
+690
Tonga
+676
Trinidad & Tobago
+1
Tunisia
+216
Turkey
+90
Turkmenistan
+993
Turks & Caicos Islands
+1
Tuvalu
+688
U.S. Virgin Islands
+1
Uganda
+256
Ukraine
+380
United Arab Emirates
+971
Uruguay
+598
Uzbekistan
+998
Vanuatu
+678
Vatican City
+39
Venezuela
+58
Vietnam
+84
Wallis & Futuna
+681
Western Sahara
+212
Yemen
+967
Zambia
+260
Zimbabwe
+263
Contact Number while on site:
How many times have you been to KML?
0
1
2
3
4
5+
How did you hear about us?
Date / Time of Arrival
Date
Time
Date / Time of Departure
Date
Time
Funding Source
Institutional
Self-Funded
NSF
Other Grant
Other Funding Source
Other, please specify:
Grant Funded?
Yes
No
Federal or State Agency Name:
Other Source Name:
Billing
Bill my institution
Bill me personally
Other, please specify:
Billing Contact Name
First
Last
Billing Contact Number
Billing Address
Same address as above
Bill a different address
Billing Address
Address Line 1
Address Line 2
City
— Select state —
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Florida tax exempt?
*
Yes
No
To claim tax exemption, you MUST provide a State of Florida Tax Exempt Certificate (DR14) and the billing address provided must match the address on the Tax Certificate.
If yes, please upload tax exempt form:
Click or drag a file to this area to upload.
Group Roster and Demographics
If you don’t have group roster solidified at this time, please re-submit this form with group roster demographics when you do (prior to your arrival at KML)
Primary Purpose for Visit
Education (or class participation)
Research
Both
Number of undergraduates in party
Number of graduate students in party
Number of PhD students in party
Number of Postdoctoral students in party
Number of faculty in party
Number of non-faculty scientists or researchers in party
Additional number of other persons in party
Brief Description of Project or Course Title and Number
*
Names of Group Members (short list):
Annual Liability Waivers required for each person coming on-site to KML. Copy of form will be furnished to PI (and Co-PI) once reservation is confirmed by KML staff.
*
Agree
KML FACILITY USE AND SERVICES
DORMITORY USE or DAY ACCESS?
*
Overnight (Dorm Use)
Day Access (No Dorm Use)
DORMITORY USE- Number of males in your group
Staff, students, and various groups may be sharing a room. Dorms are separated by gender preference
DORMITORY USE- Number of females in your group
Classroom Needed:
Date
Time
SEAWATER SYSTEM- Do you need wetlab and/or seawater sytem (tanks, tables, etc.) access?
Yes – KML Systems
Yes – FWC Coral Reef Restoration System (pre-approved projects only)
No
If *yes*, please copy and paste this URL in your browser to access a fillable SURF: https://www.fio.usf.edu/documents/SURF-Fillable-ver2021.11.12.pdf
Drylab usage (or special project) description:
For bench space and equipment needs
PLEASE NOTE:
All KML users are responsible for cleanup, dismantling, and proper disposal of any items used for their projects during their stay. Failure to do so will result in a staff time charges for cleanup and remove these items.
*
Agree
Please list all chemicals to be used on site:
All chemicals and waste must be removed and properly disposed of. There is no long-term chemical storage available. Please detail your disposal plan:
COLD STORAGE
Do you require cold storage (for chemicals and/or specimens)?
*
Yes
No
Refrigerator space needed (cubic feet)
Freezer space needed (cubic feet)
-80C Freezer space needed (cubic feet)
BOATS
Forms required: -Boat Roster -Liability Waiver -Boating & Snorkeling Agreement
Boat Use?
*
Yes
No
Please also fill out Boat Roster, Liability Waiver, and Snorkel Agreement if boat usage is requested
Date boat is needed
Duration of boat use
Full day (6 hrs)
Half day (3 hrs)
Group Roster Upload (if group is large)
Click or drag a file to this area to upload.
Please upload the name, gender (optional- for housing purposes), emergency contact name/number, and professional (faculty, researcher) or student (undergraduate, graduate, post-doc) level in MS Excel
Time of day
AM (9:00 – Noon)
PM (1:00 – 4:00)
SPECIAL HOURS (specify below)
Special Hours Requested
Vessel Preference (note: vessel choice ultimately at captains' discretion)
R/V Diodon – Island Hopper (30')
R/V Opah – Parker (25')
R/V Mola Mola – Parker (25')
R/V Nari Nari – Parker (18')
Number of people in group:
Will you require a vessel to be trailered off-site?
Yes
No
Field site locations for vessel to be trailered
Do you require dockage for your own vessel?
Yes
No
Length of vessel to be docked at KML
Launch details for vessel docked at KML
Please indicate how many times you intend on launching your vessel from KML docks
Do you require trailer storage?
Yes
No
How many days will you be storing your trailer at KML?
Additional boat needs and/or notes:
DIVING
Forms Required: -Letter of Reciprocity (LOR) from home institution -Proof of medical insurance -Dive plan -Liability Waiver
Diving?
*
Yes
No
Do you require KML Staff Divers for project support?
Yes
No
Number of AAUS certified Divers
Estimated number of days diving
Estimated number of cylinders needed from KML
Number of air fills if using own cylinders
Must have VIP status
SPECIMEN COLLECTION
Do you require sampling and/or specimen collections?
*
No
Yes, sampling and/or collections to be done by PI/group
Yes, collections request for KML Staff
Are there permits required for your collection?
Yes
No
Please indicate Permit #(s), Expiration Date(s), and any other pertinent information:
Upload Current Permit(s)
Click or drag a file to this area to upload.
Is IACUC Approval (for all activities involving vertebrates) required?
Yes
No
Preferred collection date:
Collection methods and type(s) of species:
SHIPPING
Method of shipment:
USPS
FedEx
UPS
Pickup at KML
None
Special packing instructions?
Shipping Account Number:
PUBLICATIONS
I hereby agree to acknowledge ‘Keys Marine Laboratory’ in any publications resulting from work conducted while utilizing KML services. Additionally, I agree to provide copies of any/all publications to KML free of charge and in a timely manner.
*
Agree
DELINQUENT ACCOUNTS
Delinquent accounts may be turned over to a collection agency and all Collection Fees, including legal fees will be added to the account balance.
I understand
NOTICE OF CONSENT
I expressly consent to you, your affiliates, agents, and service providers using written, electronic, or verbal means to contact me as the law allows. This consent includes, but is not limited to, contact by manual calling methods, prerecorded or artificial voice messages, emails and/or automated telephone dialing systems. I also expressly consent to you, your affiliates, agents, and service providers contacting me by telephone at any telephone number associated with my account, currently or in the future, including wireless telephone numbers, regardless of whether I incur charges as a result. I agree that you, your affiliates, agents, and service providers may record telephone calls regarding my account in assurance of quality and/or other reasons.
*
I consent
Please remember this KML Facility Use Request Form (FURF) serves as your contract with Keys Marine Laboratory (Florida Institute of Oceanography/University South Florida) for goods and services.
E-Signature:
*
Clear Signature
Use mouse/touchpad to sign
Date
*
Submit
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