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Research application
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Wildwood Research Application Form
Personal information
Your name
Are you over 18?
Yes
No
Home telephone
Mobile number
Contact email
Home address
Emergency details
Name of emergency contact 1
Contact number for emergency contact 1
Name of emergency contact 2
Contact number for emergency contact 2
Medical conditions
Will you be collecting data onsite?
Yes
No
You may come into contact with hay, straw, sawdust, nuts, fungi, pollen, animals of all kinds (we have adders, which are venomous snakes), other materials and tools during activities. Please acknowledge that you are aware of this.
Ok
Do you have any medical/behavioural conditions, disabilities, and/or medication that we should be aware of that might be affected by these (eg hay fever, allergies, anaphylaxis, asthma, diabetes, epilepsy, animal phobias)?
Yes
No
Please specify
Final write up terms
Wildwood requires a copy of your final write up to use at its discretion and to forward on to BIAZA. Before publishing research findings on any platform, you MUST send a final draft for approval. Please tick to confirm you agree to these terms.
Yes
University/College information
University/college name
University/college address
Level of programme (eg BSc, MSc, HND)
Course title
Name of supervisor
Supervisor's email
Research proposed
Research project title
Preferred start date (data collection)
Preferred finish date
Project submission date
On which days do you intend to collect data?
Mon
Tue
Wed
Thu
Fri
Sat
Sun
At what time of day do you intend collecting data?
AM
PM
All day
Method statement/abstact
Method Statement/Abstract
Please use this section to provide as much information about your project as possible. The information will be used during our decision making process, so it is important to include the specific details or your proposed methods. Applications received without the required level of information will not be considered.
I confirm and agree that this project has been approved by the university/college ethics committee
Yes
I agree that should you wish to change your current method statement as outlined in this application, it will be agreed in advance with your supervisor and Tyrone Capel from Wildwood Trust
Yes
I agree that dates for data collection are agreed with Tyrone Capel in advance
Yes
I agree that when collecting data at Wildwood, you will sign in at the main entrance to receive a 'reseacher' lanyard which you will wear at all times and return when you sign out
Yes
Consent
I consent to Wildwood collecting and processing information relating to me and my personal data in accordance with the Privacy policy on Wildwood's website.
Yes
Application declaration
I confirm that the information given in this form is true to the best of my knowledge.
Yes
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