KML Facilities Use Request Form

Today's Date *

Principal Investigator (PI) *

First

Last

Co-PI or Collaborator

First

Last

Affiliation *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Primary Contact Number *

Email *

Have you been to KML before? *

How many times you been on-site at KML?

How did you hear about us?

Date / Time of Arrival

Date

Time

Date / Time of Departure

Date

Time

Education level of party members

Undergraduate
Graduate
Other

Number of undergraduates in party

Number of graduate students in party

Number of other students in party

Research level of party members

Other, please specify:

Funding Source

Other, please specify:

Billing

Billing Address

Address Line 1

Address Line 2

City

State

Zip Code

Florida tax exempt? *

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.

Brief Description of Project or Course Title and Number *

Group Roster Upload

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

Names of Visitors in your Group

KML FACILITY USE AND SERVICES

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

Do you need wetlab and/or seawater sytem (tanks, tables, etc.) access?

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.

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)? *

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? *

Please also fill out Boat Roster, Liability Waiver, and Snorkel Agreement if boat usage is requested

Date(s) boat is needed

Duration of boat use

Time of day

Special Hours Requested

Number of passengers

Vessel Preference

Note: Final vessel choice at captains' discretion

Will you require a vessel to be trailered off-site?

Field site locations for vessel to be trailered

Do you require dockage for your own vessel?

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?

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? *

Number of AAUS certified Divers

Estimated number of days diving

Estimated number of cylinders needed from KML

SPECIMEN COLLECTION

Specimen Collecting? *

Are there permits required for your collection?

KML FACILITY USE AND SERVICES

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.

COLD STORAGE

BOATS

DIVING

SPECIMEN COLLECTION

Sign up for our Newsletter

Explore

Contact us