APPENDIX C

University of Illinois at Urbana-Champaign

Scientific Diving Program

SCIENTIFIC DIVING PROJECT APPLICATION

An application for the approval of a scientific diving project consists of:

• Scientific Diving Project Application (or a similar form of your own design

• Scientific Diving Emergency Plan (see Appendix B, UIUC Scientific Diving Safety Manual)

• Current Medical Approval Form for each diver (see Appendix A, UIUC Scientific Diving Safety Manual)

• Current Release and Waiver Form for each diver (see Appendix D, UIUC Scientific Diving Safety Manual)

Conditional approval may be made once the Diving Project Application and the Scientific Diving Emergency Plan are submitted. Final approval will only be granted once all medical and waiver forms are submitted.

The Diving Project Application and the Scientific Diving Emergency Plan forms are also available on disk. Copies are available on disk in Microsoft Word 5.1 and WordPerfect 5.1 formats. Copies can be made available in the following formats, upon request: Interchange (RTF), Word for Windows 1, Word for Windows 2.0, and Mac Write.

Complete applications are to be submitted to:

Diving Control Board

Institutional Review Board Office

528 E. Green Street, Ste. 203

Champaign, Illinois 61820

If you have any questions on the Diving Control Board, information is available through the Research Board Office at 333-0037 or 333-9305.


For Diving Control Board Use Only

Project Number: Approval Date:

SCIENTIFIC DIVING PROJECT APPLICATION

Date of Application:
Applicant's Name:
Diving Project:
Project Sponsor:
Dive Site (Exact Location):
UIUC Diver in Charge (Name and Campus Address):
Other Divers:
Non-Divers:
Description of Diving Project:
Anticipated Number of Dives:
Number of Diving Days:
Duration of Dives:
Depth of Dives:
Special Requirements:
Off-Campus Base for Diving Expedition:
Transportation to/from Diving Site (include dates and rest period prior to initiating any dives):

Approvals:

Conditions:

Comments/Recommendations:

Expiration Date:

Chair, Diving Control Board Date