Name of project leader:

(Note: This is the person who will be in charge of the project during field work at Lizard Island. Postgraduate students are considered to be the leaders of their own projects.)

Project title:

Does any or all of the proposed work constitute commercial usage?

(Examples of commercial usage are production of films and television documentaries, and research conducted for commercial purposes where the results are not intended for publication in the public domain).

Yes No

Preferred arrival date:

Earliest possible arrival date:

Preferred departure date:

Latest possible departure date:

Maximum number of people in team to be at Lizard Island at any one time

(including project leader):

Does your team include any family members or friends who will not be assisting with the research?

Yes No

If so, please outline circumstances and provide ages of any children.

Project leader's details

Institution's address:

E-mail:

Phone:

Fax:

Show project leader's position (mark one):

Research staff of a university or other research institution

Independent non-student researcher

PhD student, will be enrolled at time of proposed trip

MSc student, will be enrolled at time of proposed trip

Honours student, will be enrolled at time of proposed trip

Intending or recent student, will not be enrolled at time of proposed trip

Other (please elaborate):

Before their first visit to Lizard Island, student researchers will be required to have their status verified by the university.

The following questions relate to work proposed during this trip. For any Yes or Maybe answer, please provide information in the box provided for each question.

Q1. Do you plan to collect, damage or move corals or giant clams?

Yes No Maybe

Q2. Do you plan to collect, damage or move other marine organisms?

Yes No Maybe

Q3. Do you plan to put down any items that will be left in the water when you are not present? (e.g. buoys, markers)

Yes No Maybe

Q4. Does this project require scuba diving?

Yes No Maybe

Q5. Do you expect that any of the proposed divers in your team will have difficulty presenting any of the documents required by the Station's scuba diving regulations?

Yes No Maybe

Q6. Do you plan to dive deeper than 20 metres? (95% of dives at the Station are to less than 16 metres)

Yes No Maybe

Q7. Do you plan to conduct night dives?

Yes No Maybe

Q8. Do you plan to conduct specialised dives (e.g. cave dives, blue water dives)?

Yes No Maybe

Q9. Do you plan to intentionally handle venomous or dangerous animals?

Yes No Maybe

Q10. Do you plan to lift bulky or heavy items while diving?

Yes No Maybe

Q11. Do you plan to use gear underwater other than standard diving gear, cameras, slates and tapes?

Yes No Maybe

Q12. Does this project require access to reefs other than those in the Lizard Island Group?

Yes No Maybe

Q13. Does this project require a boat other than a dinghy that would normally be supplied for use within the Lizard Island Group?

Yes No Maybe

If so, what is the reason for needing a different boat?

Q14. Other than ethanol and formalin, will you be using any laboratory chemicals?

Yes No Maybe

Q15. Do you already hold any permits to conduct this research?

Yes No

Permit numbers:

If not, have you applied for any permits yet?

Yes No

Date of application for Marine Parks permit

Date of application for Fisheries permit

Date of application for any other permit

List aquarium facilities required:

List laboratory equipment required:

You can expect to hear from the Research Station by e-mail within two working days of sending this application.

E-mail this form to the Lizard Island Research Station now