North Central College - Naperville, IL

Animal Subjects: Application

Cover Sheet

Application for Research Ethics Committee Review - Animal Research

North Central College

Instructions: Please submit a copy of your application to the Chair of the Research Ethics Committee. Be sure to address all of the issues listed below in order, using the appropriate headings.

Title. Provide a descriptive title of your proposed research project.

Investigator(s). List the names, titles, and affiliations of all individuals directing the research. State whether external funding will be provided, and whether the research is being conducted in the context of a course.

Duration and Location of Research. Provide the projected starting and ending dates for data collection, and explain where data collection will take place. If research is being conducted off-campus, please attach documentation that the research has been approved by the off-campus facility.

Description of Research. Describe the goals of the proposed research and the methodology that will be used to fulfill those goals.

Reason for Animal Use. Explain why other methodologies (e.g., in vitro biological systems, computer modeling) are inappropriate and why your choice of species and quantity of animals used are appropriate for the proposed research.

Animal Discomfort, Distress and Pain. Describe any discomfort, distress or pain that the animals may experience as a result of the research, as well as the procedures you will use to minimize discomfort, distress or pain.

Euthanasia. If the animals used will be euthanized, describe and justify the method of euthanasia used. Is the method consistent with the recommendations of the AVMA Panel on Euthanasia?

Housing and Care of Animals. Describe how animals used will be housed and cared for (including feeding schedules, care of sick animals, etc.).

Training of Research Assistants. If research assistants are used, how will they be trained to carry out research safely and ethically?

I have reviewed the regulations governing the NCC Research Ethics Committee and certify that my proposed research is in compliance with those regulations. I also certify that the information presented above is accurate and complete. I agree that, in the event that the conditions and/or procedures of the proposed research undergo substantial change, I am required to submit a new approval form to the Research Ethics /Committee before further research activity may proceed.

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Signature of Primary Investigator