Date:

Name (include position: Faculty /Post Doc /PhD student /MS student /undergrad):

Account number:

Course name & number (if space needed for class projects):

Principle Investigator or Advisor (if different from requestor):

Affiliation (if not UAF Biology Department):

Email:

Phone (wk) (hm)

Person responsible for plant maintenance (if other than greenhouse staff):

Space needed (# benches or sq. ft.)

Date needed: Start date: End date:

Desired temperature:

Desired photoperiod:

Brief description of research (to use for research description on greenhouse website):

This request will be sent to the IAB Greenhouse Manager.