REQUEST FOR SPACE
NAU Research Greenhouse Complex
(928)523-9100
Date of Request_______________
Start Date_____________
Projected End Date_____________
Estimated number of 6 by 8 ft. benches or square feet required: __________
Principal Investigator: ___________________________________________
Other researchers/students: ______________________________________
Department: ________________________________
NAU Status: ___Faculty ___Student ___Staff ___Other_________________
Funding Source: ________________________
Acct. Number: __________________________
PI Contact Information:
Phone___________________ Cell _________________
E-mail_________________________________________
Brief Project Description:
________________________________________________________________
________________________________________________________________
Optimal Temperature Settings: Day_______ °F Night_______ °F
Soil: ____Greenhouse Mix ___Sterile ___Native/Introduced
Greenhouse modifications or other project requirements:
_____________________________________________________________
I have read and agree to the NAU Research Greenhouse User Policies:
___________________________________
PI Signature
______________
Date
__________________________________________
NAU Research Greenhouse Complex Staff Signature
______________
Date