12. Provide the following information for ALL RESEARCH PERSONNEL involved in animal contact: Name: Indicate the role on the project? Describe the Clearances: person’s qualifications and experience with the procedures and the Policy: species used in the experiments: Yes No Health Yes No Facility Yes No Wet Lab Yes No Name: Indicate the role on the project? Describe the Clearances: person’s qualifications and experience with the procedures and the Policy: species used in the experiments: Yes No Health Yes No Facility Yes No Wet Lab Yes No Name: Indicate the role on the project? Describe the Clearances: person’s qualifications and experience with the procedures and the Policy: species used in the experiments: Yes No Health Yes No Facility Yes No Wet Lab Yes No Name: Indicate the role on the project? Describe the Clearances: person’s qualifications and experience with the procedures and the Policy: species used in the experiments: Yes No Health Yes No Facility Yes No Wet Lab Yes No
12. Provide the following information for ALL RESEARCH PERSONNEL involved in animal contact: Name: Indicate the person’s role on the project? Describe the qualifications and experience with the procedures and the species used in the experiments: Clearances: Policy: Yes No Health Yes No Facility Yes No Wet Lab Yes No Name: Indicate the person’s role on the project? Describe the qualifications and experience with the procedures and the species used in the experiments: Clearances: Policy: Yes No Health Yes No Facility Yes No Wet Lab Yes No Name: Indicate the person’s role on the project? Describe the qualifications and experience with the procedures and the species used in the experiments: Clearances: Policy: Yes No Health Yes No Facility Yes No Wet Lab Yes No Name: Indicate the person’s role on the project? Describe the qualifications and experience with the procedures and the species used in the experiments: Clearances: Policy: Yes No Health Yes No Facility Yes No Wet Lab Yes No
IACUC-Protocol-Renewal-Form-updated-Pentobarb-6-18-15.docx