Macquarie University Animal Ethics Committee Animal Ethics Application Form - Personnel Expertise Please complete a separate form for each of the Investigators in your project and attach it to your online application Name (Title, First name, Surname) MQ Staff/Student ID Email Address Mobile Number Relevant Qualifications Have you completed an Yes, Course Name: Date: Animal Ethics or Welfare No - contact to enrol Course in the last 5 years? Have you ever been, or are No, provide details of expertise in next table you currently, suspended from working with animals Yes, complete rest of table by Macquarie AEC or at any other institutions? Please detail the circumstances regarding the suspension. Include ARA number, and the date on which the approval was withdrawn/suspended (and if applicable the date on which approval was reinstated) and the reasons stated for withdrawal/suspension What changes were made as result of the suspension (e.g. extra training/education, investigations, modifications to the project, etc.) Level of RECENT experience Name of Investigator on (Approx. number of times this person has Specific duties/tasks Species performed the procedure in this or a similar project who will supervise performed in this project species in the recent past) (if level of experience is "None" or (add rows as necessary) "Limited") None Limited High (e.g. <20) (e.g. >20) (EXAMPLE) Anaesthesia Rats 12 times Dr Jones
Macquarie University Animal Ethics Committee Animal Ethics Application Form - Personnel Expertise Please complete a separate form for each of the Investigators in your project and attach it to your online application Name (Title, First name, Surname) MQ Staff/Student ID Email Address Mobile Number Relevant Qualifications Have you completed an Animal Ethics or Welfare Course in the last 5 years? Yes, Course Name: Date: No - contact to enrol Have you ever been, or are you currently, suspended from working with animals by Macquarie AEC or at any other institutions? No, provide details of expertise in next table Yes, complete rest of table Please detail the circumstances regarding the suspension. Include ARA number, and the date on which the approval was withdrawn/suspended (and if applicable the date on which approval was reinstated) and the reasons stated for withdrawal/suspension What changes were made as result of the suspension (e.g. extra training/education, investigations, modifications to the project, etc.) Specific duties/tasks performed in this project (add rows as necessary) Species Level of RECENT experience (Approx. number of times this person has performed the procedure in this or a similar species in the recent past) Name of Investigator on project who will supervise (if level of experience is "None" or "Limited") None Limited (e.g. <20) High (e.g. >20) (EXAMPLE) Anaesthesia Rats 12 times Dr Jones
Personnel-Expertise-March-2018.docx