Crop Services and Staff Request Farm(Required) Agronomy Farm East Farm Peckham Farm (Select one)Principal Investigator(Required) First Last Date of Request(Required) MM slash DD slash YYYY Department Email(Required) Enter Email Confirm Email PhoneCooperator(s)NameEmailPhone Add RemoveGrad Student(s)NameEmailPhone Add RemoveUndergrad(s)NameEmailPhone Add RemoveUnique Identifying Project Title(Required) Project DescriptionTotal Acreage Requested (or sq. ft) High Tunnel Large Small Additional Information: Plot use starting date (this year) MM slash DD slash YYYY Plot use ending date (this year) MM slash DD slash YYYY Is this a multiyear project? Yes No Additional information on size and preferred location of plots (attach any maps or diagrams of plot setup if available)If plots are named, please include plot name in this section. Does this experiment need to be on certified organic ground? Yes No Bag tags, rates, and dates of all applied materials must be documented and submitted to the person completing the organic application.Crops being grown:Pesticide application method Backpack Tractor applications done with farm staff assistance Person Responsible for Applying Pesticides: Please List All Pesticides to Be UsedInsecticides: Fungicides: Herbicides: Fertility Program Description:Harvesting Methods Description:Please describe any potential long-term effects your treatment might have on the experimental unit/area (e.g., compost or manure applied to only some treatments, pesticide carryover):If applicable, please describe potential options for mitigating long-term treatment effects:Funding Sources (granting agency or organization, award number, grant start/end dates)Account # (CFS)DeptFundProgramProject Add RemoveName of person requesting space: First Last NameThis field is for validation purposes and should be left unchanged. Δ
