I. Background and Contact Information — Texas Parks & Wildlife Department

Applicant/Principal Investigator Name

Affiliation

Phone Number

Occupation

Affiliation Address

Phone Number

E-Mail Address

If Student, Major Professor’s Name

Professor's Address

Professor's E-Mail Address

Additional Investigators to be Authorized Under Permit

Name	Phone Number	E-Mail Address

Add new row

Have you or any of the investigators above previously been issued a TPWD State Parks Scientific Study Permit?

Yes
No

If yes, give permit number(s)

Qualifications Provide background summary or curriculum vitae for principal and additional investigators. Identify qualifications and training relevant to the proposed project, including previous research projects.

Are any other state or federal permits required for this activity?

Yes
No

If yes, please explain