ࡱ> rtq! 3bjbj\\ sN6g6g-\ \ $Pbll[:PfffA6w ZZZZZZZ$]`ZAAZffZ=!=!=!LffZ=!Z=!=!NPWfvTBlZZ0[TaYa`WaW=!ZZ\[a\ X :  The Institutional Animal Care and Use Committee (IACUC) DISPLAY ANIMAL USE PROTOCOL - COVER SHEET (9/21)For ORS Use Protocol #_______________ __ Date Received: ______________ Principal Attendant Department Ext: E-mail:Co-Attendant (if any)DepartmentExt: E-mail:TITLE OF PROTOCOL: Type of Protocol: ____ Educational DisplaySpecies Age Size No. Males No. Females Source/Supplier  PROJECTED DURATION OF PROJECT ______________________ *** ATTENDANTS ASSURANCES: I am familiar with those aspects of the 2011 Guide for the Care and Use of Laboratory Animals and/or the Animal Welfare Act that pertain to the care of the animals covered under this protocol. I acknowledge that the animals covered under this protocol will not be used for research or instructional use unless also covered by a separate IACUC protocol. I am familiar with all procedures of the animal facilities, and I am familiar with the safety guidelines as set forth in the Chemical Hygiene Plan for the . I understand that it is my responsibility to assure daily monitoring and record keeping for all animals under this protocol. I certify that all students and assistants caring for animals under this protocol will receive complete training, and the IACUC Student Research Assistant Training Certification form and the IACUC Training in Techniques Required for a Protocol Certification form will be filed with the Office of Research Services. When solicited in mid-October of each year, I will provide the IACUC with an annual report containing the species and number of animals used in each of my approved protocols. I understand that the information I provide will be used to complete the s annual USDA and other federal reports. I will notify the IACUC, in writing, if animals purchased for this protocol are transferred to another attendant for use in a different protocol. ____________________________________________ __________________________ Signature of Principal Attendant Date ____________________________________________ __________________________ Signature of Co-Attendant Date Send ONE PAPER COPY OF THIS SIGNED COVER SHEET to: Office of Research and Sponsored Programs, AND submit the COVERSHEET and PROTOCOL NARRATIVE ELECTRONICALLY as an e-mail at least one week prior to a scheduled IACUC meeting to  HYPERLINK "mailto:gary.kwiecinski@scranton.edu" gary.kwiecinski@scranton.edu and send one signed copy of the Cover Sheet to Gary Kwiecinski, Biology Department, LSC292, at least one week prior to a scheduled IACUC meeting. The Institutional Animal Care and Use Committee (IACUC) DISPLAY ANIMAL USE PROTOCOL - NARRATIVE OUTLINE  1. Name of Attendant(s): Date Submitted: Title of Protocol: 2. Brief Description of Why Animal will be Housed on Campus 4. Animal Maintenance 4.1. Describe location, duration, and husbandry techniques (with references) for housing species 4.2 Special Requirements/Instructions Describe any special requirements, e.g., special housing, diet, extra cage cleaning, light, temperature, or humidity. It is the responsibility of the attendant to provide for special requirements in the maintenance of animals. The Universitys Animal Caretaker is not authorized to provide special maintenance services or research assistance. 4.2. Describe competency in techniques used to care for the species of this protocol 4.3. If animals become ill, describe techniques used to care for them 4.4 Procedures to minimize pain/distress or procedures for euthanasia 4.4.1. What pharmaceutical anesthesia is being used? 4.4.1.a. Type: ___________________________; 4.4.1.b. Brand name: __________________________; 4.4.1.c. Expiration date: ___________________. 4.4.2. 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