Did the SCRO approve an amendment for Indicate if a change has occurred in the last year. this change? Change in PI or other project personnel (additions or deletions of staff, including post-docs and graduate Yes No Yes *No students) Change in the source of funding or the addition of new Yes No Yes *No funding Requests for additional types or sources of hESC lines Yes No Yes *No Changes in procurement of human embryos, gametes or Yes No Yes *No somatic cells Changes in experimental protocols in the use of hESC or in vivo derivatives, human gametes, or embryos or research involving implantation of human induced Yes No Yes *No pluripotent stem cells into prenatal animals or into the central nervous system of post-natal animals ) *The above changes require submission of an amendment request (form found here: and SCRO Committee approval prior to implementation. If an amendment request has not been approved for a change that has occurred in the past year or you plan to make a change, please complete an amendment form to describe the changes and submit along with this continuation form. VII. Investigator Certification I certify that this protocol is being conducted in adherence to the UConn policies for the conduct of hESC research and in compliance with all relevant State of Connecticut and federal laws and regulations. PI Name: PI Signature: _______________________________________________________________ Date: Attachments Checklist Did you attach… hESC Tutorial Answer Sheet (for any project personnel who have not yet Yes No N/A received their hESC Tutorial Completion Certificate) Amendment form, if applicable Yes No N/A Revised SCRO application? Yes No N/A MTA(s)/SLA(s)? Yes No N/A IRB approval letter? Yes No N/A IBC approval letter? Yes No N/A IACUC approval letter (email)? Yes No N/A
Indicate if a change has occurred in the last year. Did the SCRO approve an amendment for this change? Change in PI or other project personnel (additions or deletions of staff, including post-docs and graduate students) Yes No Yes *No Change in the source of funding or the addition of new funding Yes No Yes *No Requests for additional types or sources of hESC lines Yes No Yes *No Changes in procurement of human embryos, gametes or somatic cells Yes No Yes *No Changes in experimental protocols in the use of hESC or derivatives, human gametes, or embryos or in vivo research involving implantation of human induced pluripotent stem cells into prenatal animals or into the central nervous system of post-natal animals Yes No Yes *No *The above changes require submission of an amendment request (form found here: ) and SCRO Committee approval prior to implementation. If an amendment request has not been approved for a change that has occurred in the past year or you plan to make a change, please complete an amendment form to describe the changes and submit along with this continuation form. VII. Investigator Certification I certify that this protocol is being conducted in adherence to the UConn policies for the conduct of hESC research and in compliance with all relevant State of Connecticut and federal laws and regulations. PI Name: PI Signature: _______________________________________________________________ Date: Attachments Checklist Did you attach… hESC Tutorial Answer Sheet (for any project personnel who have not yet received their hESC Tutorial Completion Certificate) Yes No N/A Amendment form, if applicable Yes No N/A Revised SCRO application? Yes No N/A MTA(s)/SLA(s)? Yes No N/A IRB approval letter? Yes No N/A IBC approval letter? Yes No N/A IACUC approval letter (email)? Yes No N/A
SCRO-Continuation-Form.docx