<p>Boat Use Request Form – Revised June 2014 Page 1 of 2 SAVANNAH STATE UNIVERSITY Savannah, Georgia 31404 Marine and Environmental Sciences Department Boat Use Request and Reservation Form</p><p>Reservation Process: 1) Check availability of boats from the schedule with University Boat Captain 2) Complete this form; incomplete forms without all of the requested information will be returned without approval. Submit a minimum of two weeks prior to requested vessel use. 3) Obtain approval from Marine and Environmental Sciences Department Chair. 4) Obtain approval of the float plan from a University Boat Captain.</p><p>Date Submitted ______Date(s)/Times of Use______</p><p>Destination(s)/General Area*______Approx. Duration of Operation/Project______*If you are interested in specific sites or locations, please provide latitude/longitude coordinates on a separate sheet. Scientific and/or Educational Objectives:</p><p>Requested Equipment:</p><p>Small Beam Trawl CTD Ponar Grab Core Live Well Large Beam Trawl Niskin Bottle Tides:</p><p>At Fort Pulaski At SSU Dock, Country Club Creek† High Tide AM PM High Tide AM PM Low Tide AM PM Low Tide AM PM</p><p>†To find the tide at SSU Dock on Country Club Creek, simply add 0:45 to the time for the Fort Pulaski Tide Station (NOS). NOTE: The R/V Robinson can only operate in and out of Country Club Creek 3 hours before to 3 hours after High Tide. The Tiger II can only operate in and out of Country Club Creek 1½ hours after to 1½ hours before Low Tide. If requesting multiple days add a separate sheet with the requested info above. VESSEL REQUESTED</p><p>R/V ROBINSON* SKIFF* TIGER II* </p><p>Vessel Captain Vessel Operator Vessel Operator Phone Phone Phone Email Email Email Vessel Crew 1 Chief Scientist Chief Scientist Phone Phone Phone Email Email Email Vessel Crew 2 Phone Boat Use Request Form – Revised June 2014 Page 2 of 2 Email Chief Scientist Phone Email </p><p>Total Number of Participants ______NOTE: The R/V Robinson has a maximum capacity of 12 participants with trawling gear.</p><p>Has the participant signed Category First and Last Name the Liability Form? Graduate, Undergraduate, Faculty, Staff, Non SSU</p><p>Is this Operation/Project for: Curricular Research Funded Research </p><p>Account Name and PI______</p><p>I agree to the ‘Policies Governing the Utilization of University Marine Science Dock, Boats, and Vehicles (6/21/07 w/minor amendments 3/31/2011) and those on this form.</p><p>Requestor Name______Phone ______Date______</p><p>Chair Signature______Date ______</p><p>Captain/ Vessel Operator Signature______Date ______</p><p>----- Definitions ------Vessel Captain: US Coast Guard licensed and approved employee of SSU. Vessel Operator (small boats): Marine and Environmental Sciences qualified and approved faculty, staff or Human Resources and Marine and Environmental Sciences volunteer. See Certification and Authorization to Use Savannah State University Boats Marine Science Vessel Operating Regulations Agreement. Vessel Crew: Marine and Environmental Sciences qualified and approved faculty, staff, student or Human Resources and Marine and Environmental Sciences approved volunteer. ChiefBoat Use Scientist: Request Form Faculty, – Revised staffJune 2014 or student approved by a faculty member. Page 3 of 2</p><p>Required equipment on board: A Personal Flotation Device is required for each individual on board, throwable device, fire extinguisher, whistle or horn, anchor, oar, visual distress signal, first aid kit, and a handheld VHF radio. Small boat vessel operators are also required to check the weather forecast and current radar image or loop on the Web and log out on the status board prior to departure and log in after return. </p>