Application for Small Telescope Observing Time
Use for 36" Refractor, Crossley, or Astrograph.

This on-line form generates a completed, printable small telescope time application. Only applications generated using this form will be considered by the TAC. Complete the form on line, review it on your web browser, make corrections as needed, print the completed form, attach the scientific justification, and submit two copies, by mail, to:

Michael Bolte, Director
Small Telescope Time Request
UCO/Lick Observatory
University of California
1156 High Street
Santa Cruz, CA 95064

N.B. Filling out this form on line does not submit your application electronically. You must print the form and submit two copies, along with the scientific justification, by mail, to the above address.

"" indicates a required field. You cannot proceed to the printable version until all required fields have been filled in. For help with this form see instructions for completing the small telescope application form, or click on the help icon in each section of the form for help with that topic.


PARTICIPANTS
Complete all PI information (fax # optional). If applicable, provide names, positions, and institutions of Co-PI's whose names should appear on this proposal. All persons who will be present for observing, other than the PI (but including Co-PI's), must be listed -- with contact information -- under "Additional Observers."

PI*
Name:
Phone:
Position:
Email:
Address:
Fax:
* Graduate student thesis proposals must include a letter of support from the thesis advisor

Co-PI's
Names, Positions, and Institutions:

Additional Observers
Will persons other than the PI be attending? Yes No

If "Yes" List all persons attending other than PI (include Co-PI's attending):
Name:
Email:
Phone:
Name:
Email:
Phone:
Name:
Email:
Phone:

Billing Information
Method of payment for room(s):
Credit Card
Recharge to UC Account

Davidson Funds
Is applicant a graduate student? Yes No
If "Yes" Will applicant be supported by Davidson funds? Yes No

DETAILS OF TIME REQUEST
All fields in the following section are required, except those under "Time" dealing with days from moon, preferred distribution of nights, and dates to avoid. Any of these left blank will be interpreted as "no preference" for that field.

Observing period
Quarter:
Year:

Program
Title:
Type:
Long-term Short-term

Time
Total number of nights requested this period:
Estimated number of nights to complete program:
Maximum number of days from new moon
(must be justified in program description):
Preferred distribution of nights by month:
Dates to avoid:

Telescope

Equipment
Use this space to request or describe equipment (e.g., instrument, filters, eyepiece).


Scheduled Support
Check One:
Observer is not checked out on this telescope and/or instrument
(instruction mandatory).
Observer is checked out on this telescope and instrument,
but wishes further instruction or support.
Observer is checked out on this telescope and instrument,
and does not require instruction or support.

Additional Information
This section is optional. Use it to add any other information that may be of help to the TAC or the mountain crew.
Please press RETURN at the end of each line.