RESEARCH PERMIT APPLICATION
The Nature Conservancy in Iowa

INSTRUCTIONS & INFORMATION

1. Complete the application form (electronically, if possible).

2. E-mail the completed application to Jennifer Filipiak, Director of Conservation Science at

3. Completed applications will be reviewed by the appropriate Conservancy staff. If there are questions or concerns we will call or e-mail you.

4. A research permit from TNC does not supercede other necessary research permits required by other agencies. It is the obligation of the researcher to identify and obtain any other local, state or federal permits or approvals. Other permits you may need include:

·  State Preserves Permit: Contact the State Preserves Advisory Board if you propose to work in a state preserve (www.iowadnr.com/preserves).

·  Scientific Collector’s Permit: Contact the Iowa DNR if your research involves any sort of collecting plants or animals, especially threatened or endangered species (http://www.iowadnr.gov/license/prof.html ). (TNC generally only permits once specimen of each species to be collected for voucher or identification purposes. Collection of seeds and plants for restorations, gardens or terraria is generally not permitted.)

5. A permit is required for all research on land owned or leased by TNC, regardless of whether collecting is involved or funds are provided by TNC. If you are unsure if a permit is required, please contact us!

6. Early submission of your completed application is strongly advised. The turn-around time varies from a few days to up to a month or more depending on the complexity of the request, necessary reviews, workloads and other factors.

Address Application to: / Jennifer Filipiak, Director of Conservation Science
The Nature Conservancy
Iowa Field Office
303 Locust Street, Suite 402
Des Moines, Iowa 50309
(515) 244-5044 /
Research Project Title:


RESEARCH PROJECT PERSONNEL & CONTACT INFORMATION

Name of Principal Investigator:
/ Advisor’s Name (if student):
Institutional Affiliation:
Address (Street address, city, state, zip code):
Work phone: / Home phone: / Fax:
/ E-mail:
Experience in Research Area:

PROJECT LOCATION

Conservancy preserves to be included in the study:

RESEARCH PROJECT DESCRIPTION

Project Objectives (list specific research objective(s)):
Field Work Schedule (beginning/ending date & frequency of visits):
Design & Methods (be specific):
Value/Benefits (e.g. How will this research aid in the management of the target element(s)? How will the information collected further the preservation of natural diversity? What is the practical application of this research?):
Products and Reports (definition of the final product of the project, e.g. grant reporting, thesis, publications?):
Signature of Applicant (unless submitting electronically):
______/ Date:
______