THIS FORM MUST BE
TYPED BEFORE SUBMITTING.
The University of Arizona
Agricultural Experiment Station
FARM SERVICES AGREEMENT
(1)

                                                                                                                Accession No. (2) _____

DEPARTMENT(s): _________________________________________________________

MAILING ADDRESS: ____________________________________ PHONE: ____________

PROJECT TITLE (3)_____________________________________________________

OBJECTIVES:___________________________________________________________

______________________________________________________________________

PERSONNEL:
1.    Professional    ___________________    ___________________    ___________________

2.    Technical        ___________________    ___________________    ___________________

FUNDING:        _____    Farm             Account # ______________   Amount $___________
                          _____      Project         Account # ______________   Amount $___________

LOCATION:    Station: _______________ Location & Acreage: ___________________

Do the activities of this project require approval by the Institutional BioSafety Committee? ___ YES ___ NO

Date of planting or initiation: __________ Approx. Completion Date:___________

PROCEDURE AND MATERIALS: (give details, including experimental design. Use & attach additional pages if needed)





1 Agreement must be completed in full and signed, at least annually, before work can be initiated.
2Assigned by the Dean's Office.
3Must correspond to approved project, demonstration or teaching plan on file in Dean's Office unless prior arrangements have been made with Farming Superintendent and approved by the Dean's Office.


APPROVED:

____________________________    ___________    ____________________________    ___________
    Project Leader                                        Date                   Resident Director                              Date

____________________________     __________    ____________________________    __________
    Department Head                                    Date                   Director/Experiment Sta.              Date

_____________________________     ___________
    Farm Superintendent                             Date                              PLEASE TURN OVER & FILL OUT
                                                                                                    CROP PROD. RESPONSIBILITY SECTION.

------------








CROP PRODUCTIVITY RESPONSIBILITY



PROCEDURES:


REMARKS:



PROJECT LEADER:



FARM:

FIELD PREP:
Land Prep. _____________________________ ___________ ____________
Planting _____________________________ ___________ ____________
Seed Cost _____________________________ ___________ ____________
Cultivations _____________________________ ___________ ____________
____________ _____________________________ ___________ ____________
IRRIGATIONS
Sprinklers _____________________________ ___________ ____________
Labor _____________________________ ___________ ____________
Water Cost _____________________________ ___________ ____________
____________ _____________________________ ___________ ____________
____________ _____________________________ ___________ ____________
CHEMICALS:
Fertilizers _____________________________ ___________ ____________
Insecticides ____________________________ ___________ ____________
Herbicides ____________________________ ___________ ____________
Fungicides ____________________________ ___________ ____________
_____________ ____________________________ ___________ ____________
_____________ _____________________________ ___________ ____________
HARVEST:
Equipment _____________________________ ___________ ___________
Labor _____________________________ ___________ ____________
_____________ _____________________________ ___________ ____________
_____________ _____________________________ ___________ ____________

ADDITIONAL REMARKS:






_____________________________________             _______________________________________
FARM SUPERINTENDENT                                                     PROJECT LEADER