Application Form Recombinant DNA and Biohazardous Agent Research NOTE: Blue text indicates links to additional resources I. GENERAL INFORMATION Principal Investigator: Department: Phone: Email: Project Title (if applicable): Funding Agency (if applicable): I am using recombinant DNA. YES NO (If YES, complete Sections II and IV.) I am using recombinant DNA but my project is exempt. YES NO (If YES, complete Sections II and IV.) I am using YES NO biohazardous agents. (If YES, complete Sections III and IV.) II. RECOMBINANT DNA Outline the overall goal(s) of the project. Give enough information so the techniques used and the purpose of the experiments are clear. Be as concise as possible using reasonably non-technical terms. Goal: List of hosts: Inserts source: Vectors type: Description of recombinant molecule:
Application Form Recombinant DNA and Biohazardous Agent Research NOTE: Blue text indicates links to additional resources I. GENERAL INFORMATION Principal Investigator: Department: Phone: Email: Project Title (if applicable): Funding Agency (if applicable): I am using recombinant DNA. YES NO (If YES, complete Sections II and IV.) I am using recombinant DNA but my project is exempt. YES NO (If YES, complete Sections II and IV.) I am using biohazardous agents. YES NO (If YES, complete Sections III and IV.) II. RECOMBINANT DNA Outline the overall goal(s) of the project. Give enough information so the techniques used and the purpose of the experiments are clear. Be as concise as possible using reasonably non-technical terms. Goal: List of hosts: Inserts source: Vectors type: Description of recombinant molecule:
ibc-application.docx