Research Request Form

Applicant Information*

Prefix First Last

Contact information

Please provide an address where you can receive BMSC communications for the foreseeable future.

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

Emergency Contact

Emergency Contact Name*

First Last

Emergency Contact Phone*

Emergency Contact Email*

Research Request Details - Who's coming?

Please list, below, personnel from your lab who will be conducting research at BMSC (including yourself if applicable). Include full name, email address, status (PI, Post Doc, Graduate Student, Assistant), arrival and departure dates for each lab member. Please include family members (ages of children in parentheses) who will be accompanying you, and their arrival and departure dates. This will help us to determine your housing requirements.

ACCOMMODATIONS If you require on-site housing, you must phone (250-728-3301) or email Visitor Services to make a reservation. Please do this as soon as possible after you receive notice of your application approval. Click here for accommodation options.

Research Group Size*

Total number of researchers coming to BMSC in your research group.

Please enter a number from 1 to 20.

Researcher details*

Please list each researchers name, email address, arrival and departure dates below.

First	Last	Email	Arrival Date	Departure Date	Status: PI, Research Associate, Post Doc, Grad Student, Undergrad, Research Tech, Family Member

ANIMAL USE

Does your research require the use of animals? If 'Yes', review BMSC Animal Care policies and procedures, and contact the Animal Care Coordinator for details regarding your specific research issues.

Animal Category*

Vertebrates or Cephalopods
Invertebrates
No animals

HAZARDOUS CHEMICALS / MATERIALS

Hazardous Chemicals*

Does your research require the use of hazardous chemicals? If 'Yes', email a hazardous chemicals list to the Head of Research Services.

Yes
No

Radioactive Materials*

Does your research require the use of radioactive materials? If 'Yes', email a list of radioactive materials to the Head of Research Services. It is the responsibility of PI's to ensure their personnel have the appropriate training before using radioactive materials.

Yes
No

BOATS

Boat Use*

Do you plan to use BMSC boats for research purposes? If "Yes", provide details below

Yes
No

For use of BMSC 14' and 16' Copes, operators must have:

Pleasure Craft Operator's Card (PCOC); and
Valid, in-person, 16-hour First Aid certification with CPR-C (equivalent to Marine Basic First-Aid)
A marine radio operators certificate (ROC-M) is technically required for users of VHF radios in Canada, however anyone can use such radios in the event of an emergency. An ROC-M is strongly advised.

For use of BMSC Raider and skiffs, operators must have:

Small Vessels Operators Permit (SVOP); and
MED-A3 (now called Small Domestic Vessel Basic Safety)
ROC-M
Current certification in Marine Basic First Aid with CPR-C, or an equivalent in-person, 16 hour first aid course recognized by a province or territory

Boating experience is recommended but not necessary; training may be provided upon arrival if requested.

Certifications

I would like to operate boats and presently have the necessary certifications.

Yes
No

Researchers holding PCOC & First Aid certifications

First	Last	PCOC or SVOP number	First Aid Certification	First Aid certifcation expiry date	ROC-M # - if applicable	MED-A3 # (now called Small Domestic Vessel Basic Safety) - if applicable

I will obtain the necessary certifications prior to arriving at BMSC

Yes
No

SCUBA

Do you plan to use SCUBA for research purposes?*

Yes
No

If you intend to dive at BMSC, consult the BMSC website on qualifying as a Scientific Diver at BMSC, review our Scientific Diving policies and procedures, and contact the Dive & Safety Officer. Dive collections can be made on your behalf. Consult the research fees and contact the DSO for further information.

Further Details

Use this area to provide further details about your research requirements at the BMSC.

File Submission Checklist

Please forward the following information via email to the Head of Research Services.

1. Research User Agreement Form
Download, sign and email the Research User Agreement Form to the Head of Research Services.

2. Research Description
Please provide a short description of your research interests and outline in brief your plans for work to be carried out at BMSC. In particular, it is helpful to know your short and long term objectives.

3. Publications List
Please provide a list of peer-reviewed publications generated by your lab resulting from research conducted at BMSC, for the last five years.

4. Alumni List
Please provide a list of names of your BMSC Alumni students (undergraduates, graduate students, and PDFs) that have graduated, with their degree and year, including any publication details.

By submitting this form, I certify that the above information is complete and accurate.

By submitting this form, I certify that the above information is complete and accurate. I acknowledge that failure to disclose complete and accurate information may result in denial of admission or dismissal from BMSC. I acknowledge that physical injury and death are risks inherent in the use of these facilities, and I assume all associated risks and I agree not to claim against BMSC for those risks. I agree to hold BMSC harmless from any and all injuries, damages and liabilities that may occur in the course of my visit, except for negligent acts or omissions of BMSC or its employees, students or agents acting in the scope of their duties. By submitting this form, I agree to follow the Research Policy rules at BMSC, which is available on our website and from the Head of Research Services.

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BMSC Bamfield Marine Sciences Centre

Research Application