SNPRC Resources Request (Live animals for research studies)

For information on the resource request process, click here.

Fields in *red* are required.

A. Personal Data

Name:
Institution:
Address:
City:
State/Province:
Postal Code:
Country:
Phone:
Fax
E-mail:

B. Project Information

Title of Study:
Institution where animal work will be performed:
Will the animals be used for AIDS-related research?

C. Will the resource be used for NIH-funded research?

D. Animal information

Species:
Number of Animals Needed:
Sex:
Age:
Special Testing?:
Antibody PCR
Duration of Study (live animal work):
Planned Start Date of Animal Work: [month/day/year]

E. Housing Information

What level of biological safety will housing for this project require?
     

F. Other Project Considerations:





G. Provide an overview of the procedures and timeline for the project

Overview of project and procedures(3000 characters or less)
Project Timeline
H. If you have discussed this request with an SNPRC staff member, please provide a name.
SNPRC Staff Member Name: