<p> Barcode Long Island Campaign Proposal Form</p><p>Please fill in all information below to participate in a Barcode Long Island campaign.</p><p>Note that collection locations are not guaranteed, but will be approved on a first come, first served basis. Multiple teams from a school are welcome to be a part of campaigns, but must fill out separate proposal forms. In this case, please be sure teams collect visibly different organisms, collect from different locations, and/or participate in different campaigns. Teams that participate in a campaign are strongly encouraged to collect 20 samples. Biographies for all team members must also be submitted with this form.</p><p>Team Name: </p><p>Project Title:</p><p>Team Members:</p><p>School:</p><p>Campaign (please select one):</p><p>__ __ Beetles __ __ Ants __ __ Mosquitoes __ __ Marine worms (NOT terrestrial worms) __ __ Aquatic (freshwater) macroinvertebrates (ex: insect larvae)</p><p>Collection Location(s) – please describe:</p><p>Latitude: Longitude:</p><p>Briefly describe your project goals, and relevance to human health: Please describe the collection methods for your samples:</p><p>For each team member and mentor, please include the following information: </p><p>Student 1</p><p>Name:</p><p>Present grade (9th, 10th, 11th or 12th grade):</p><p>School/institution:</p><p>State/ZIP:</p><p>Brief biography:</p><p>Student 2</p><p>Name:</p><p>Present grade (9th, 10th, 11th or 12th grade):</p><p>School/institution:</p><p>State/ZIP:</p><p>Brief biography:</p><p>Student 3 (if applicable)</p><p>Name:</p><p>Present grade (9th, 10th, 11th or 12th grade):</p><p>School/institution:</p><p>State/ZIP:</p><p>Brief biography: Student 4 (if applicable)</p><p>Name:</p><p>Present grade (9th, 10th, 11th or 12th grade):</p><p>School/institution:</p><p>State/ZIP:</p><p>Brief biography:</p><p>Mentor</p><p>Name:</p><p>School/institution:</p><p>State/ZIP:</p><p>Brief biography:</p>