Self-Guided Research Pass Application - Norfolk Botanical Garden

Name

First Name

Last Name

Pronouns

Email

Phone

What school or university do you study at?

What is your primary focus of study?

How can a NBG Self-Research Pass assist you with your studies?

How long do you intend to conduct research at NBG? How long do you intend to conduct research at NBG?

What days of the week are you most likely to conduct research at NBG? Select all that apply.

What time of day are you most likely to conduct research at NBG? Select all that apply.

Morning

Mid-day

Afternoon

Evening

Have you been to Norfolk Botanical Garden before?

Yes

No

Are you a member of the Norfolk Botanical Garden?

Yes

No

I was previously

In exchange for waived admission fees to conduct research on NBG's campus, we request that you share your research findings or completed work with NBG. Are you ok with this?

Yes

No

Does your research require any materials or physical structures to be installed or left on NBG property?

Yes

No

If Yes, please explain:If Yes, please explain:

Gathering materials of any kind at NBG is prohibited without prior staff approval. Do you agree to comply?

Yes

No

Do you consent to having your photo taken and used for Garden promotional materials such as social media or our newsletter?

Yes

No

Is there anything else you'd like us to know about you or the research you plan to conduct at NBG?

Emergency Contact Name

First Name

Last Name

Emergency Contact Phone

This information will be included on your research pass in case of emergency

School Contact Name

First Name

Last Name

School Contact Phone or Email

How did you heard about our research pass program? How did you heard about our research pass program?