Name of UAS operator:

Bradley University affiliation:

(e.g. Staff, student or 3rd-party commercial operator)

If 3rd-party commercial operator, complete this form 10 days prior to operation.

[LINK TO OPERATOR AGREEMENT TO BE FINALIZED BY ERIN]

UAS operator phone number:

UAS operator email address:

(Required for approval notification.)

UAS operator Remote Pilot certificate number:

(Required for commercial operation only)

Date of operation:

Time of operation:

(Start and End)

Additional information:

(e.g. Other requested days and times of operation)

Location:

(This can be a common campus location, e.g. Alumni Quad or Founder’s Circle.)

Approximate radius of operation:

(e.g. 1,500 feet)

Planned maximum altitude:

(Must be less than 400 feet above ground level)

Purpose of operation:

Make and model of UAS:

UAS registration number:

By submitting this form, I acknowledge that I will abide by the rules set forth by the FAA, and by those set forth by Bradley University in the University Drone Policy.
[INSERT LINK TO POLICY]

I agree.

Contact Information