ࡱ> rtq! 3bjbj\\ sN6g6g-\ \ $Pbll[:PfffA6w ZZZZZZZ$]`ZAAZffZ=!=!=!LffZ=!Z=!=!NPWfvTBlZZ0[TaYa`WaW=!ZZ\[a\ X :  The Ӱ 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 Ӱ. 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 Ӱs 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 Ӱ 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. DEA License # _________________ Expiration date ________ 5. Other attendants, students or research technicians/assistants 6. Literature Cited     PAGE 1 Revised 09-2021 PXklyz{}ĴԧteVhGhxpCJOJQJaJhGhGCJOJQJaJhACJOJQJaJh$mCJOJQJaJhthGCJOJQJaJhGCJOJQJaJh/@5CJOJQJaJhth5CJOJQJaJhtht5CJOJQJaJh$m5CJOJQJaJhthxp5CJOJQJaJhthxpCJOJQJaJP W$@&IfgdA$ W$@&Ifa$gdi$ W$@&Ifa$gdi $IfgdI $Ifgd6o) $@&Ifgdi}tttttt $Ifgd6o)gdxp}kd$$Ifl0$`  t0644 laytA     ! ' ( ) * < = > ? P Q U V i j k s t y z  ǻӯӑӂvggӂhthw4CJOJQJaJhGCJOJQJaJhth* CJOJQJaJhthtCJOJQJaJhthGCJOJQJaJhxpCJOJQJaJh }CJOJQJaJh$mCJOJQJaJhthxpCJOJQJaJhth.CJOJQJaJhthCJOJQJaJ'  ! ) qhhhh $Ifgd6o)kd$$IflF $"2  t06    44 layti) * = > qff $@&IfgdGkdB$$IflF $"2  t06    44 layti> ? j k s $jkdV$$Ifl$h% t0644 layti $Ifgd6o)hkd$$Ifl$h% t0644 laytis t y z  _kd$$IflF^$>  t06    44 laytt $Ifgd6o) $Ifgdpl3 P Y g h ( ) * ) H | ~   ⧗{{{k{\{hthoCJOJQJaJh-h->*CJOJQJaJh-CJOJQJaJhthxp6CJOJQJaJhth6CJOJQJaJhthxpCJOJQJaJh$m5CJOJQJaJhthxp5CJOJQJaJhthw4CJOJQJaJhthxpCJOJQJaJhw4hw4CJOJQJaJ$ P h _ZTTZT@&gdxpgdxpkdf$$IflFb$p* t06    44 laytt $Ifgdpl3 $Ifgd6o)h ~ 8qMvw $Ifgdj'gdxp 0h@*$gdxp hgdxp 0h*$gdxp 0h*$gdxp w 89JKOV  pqMdmnvw񊊊~r~fh.CJOJQJaJhR}CJOJQJaJh$CJOJQJaJhthxpCJOJQJaJhth$CJOJQJaJh$CJOJQJaJhthtCJOJQJaJhthFsCJOJQJaJhth CJOJQJaJhthxp6CJOJQJaJhthxpCJOJQJaJ#*@BEM`ճգՓՀpcS>S>(jhth16CJOJQJUaJhth16CJOJQJaJh 6CJOJQJaJhth 6CJOJQJaJ%h h 56>*CJOJQJaJhthj'6CJOJQJaJhth.6CJOJQJaJ"hthxp6>*CJOJQJaJhthI6CJOJQJaJhthxp6CJOJQJaJhth-CJOJQJaJh-CJOJQJaJrt+,-./0ȹȖ|nnccnUnnnHhthvDOJQJaJhtht5OJQJaJh35OJQJaJhth5'5OJQJaJhth5'OJQJaJhthxpOJQJaJhthj'6CJOJQJaJ%h h156>*CJOJQJaJh h1CJOJQJaJhth16CJOJQJaJ(jhth16CJOJQJUaJ#hth10J6CJOJQJaJ-.xkY$ W$@&Ifa$gdi $If]gd  $Ifgd6o) $@&Ifgdigdxpnkd$$IfTl"" t0644 layt^^T./0J]stu}ll[NN  h^hgd^^  h^h`gdFv  h^h`gd^^gdvD}kdz$$Ifl0l&R t0*'644 layt 023;DGHIJZ\]^oprstuwxӶzzl_RH;hth OJQJaJhe}OJQJaJhthvDOJQJaJhth^^OJQJaJhthv{6OJQJaJhth^^56OJQJaJhth5'56OJQJaJhthv{5OJQJaJhth^^5OJQJaJhthv{56OJQJaJh$m56OJQJaJhthvD56OJQJaJhthvD6OJQJaJhthvD5OJQJaJ#,-1RȻwwwwlwwl]K"hCMh7KS5>*CJOJQJaJh7KS5>*CJOJQJaJh7KS5OJQJaJh 5OJQJaJhth OJQJaJhth 56OJQJaJhth 5OJQJaJhFvh5OJQJaJhFvh%OJQJaJhthe}5OJQJaJhthvD56OJQJaJh 56OJQJaJh }56OJQJaJu,-U  RT`gdFvh`hgdFv & F^`gd  & F`gd  ^`gd7KS ^`gd  & Fh^h`gd  h^h`gd `gdgd% h^h`gde}RU@JLMTU^ef༰ylaSHhFv5OJQJaJhth5'5OJQJaJh 5OJQJaJhth OJQJaJhFvh OJQJaJh$mhR}CJOJQJaJh$mh7KSCJOJQJaJhR}CJOJQJaJh CJOJQJaJhTCJOJQJaJh$mCJOJQJaJh7KSCJOJQJaJh1h7KSCJOJQJaJhCMh7KS5CJOJQJaJ   &'(QRTVWX|ŷŷŷŷŚŏ悂xnaThth%OJQJaJhthfekOJQJaJh_OJQJaJh OJQJaJhthOJQJaJh/5OJQJaJhth5'5OJQJaJhFvhvDCJOJQJaJhth7KS5OJQJaJh7KS5OJQJaJhv{5OJQJaJh 5OJQJaJhthvD5OJQJaJh$m5OJQJaJ T3d   d^gdz~ h^h`gdv{ & Fgde} h^h`gdvD & F^`gdvD ^`gd6o)   3578@MNdeghlp¸̫¸̫¸̫̞¸櫞ykh hvD5OJQJaJhthvD5OJQJaJhthvDOJQJaJhtOJQJaJhth$POJQJaJhthOJQJaJh_OJQJaJh OJQJaJhth[OJQJaJhthtOJQJaJhth%OJQJaJhthfekOJQJaJ(     Ȼxrxgxrccchxphxp0JmHnHu hxp0Jjhxp0JUhH\jhH\U hz~hthFvhtOJQJaJhFvht5OJQJaJh 5OJQJaJhthvDOJQJaJhthvD5OJQJaJhthvD56OJQJaJh hvD5OJQJaJh$m5OJQJaJ#  /0123 d^gdz~ $h]ha$gd_{h]h &`#$gd}k ()./0123 hz~hthH\hxph(Mh_{6CJ hgj6CJ h 6CJh(Mh(M6CJ10 :p./ =!"#$ % >00 P:pvD/ =!"#$% Dp$$If!vh#v#v` :V l t0655` / / / ytA$$If!vh#v"#v2 #v :V l t065"52 5 yti$$If!vh#v"#v2 #v :V l t065"52 5 yti$$If!vh#vh%:V l t065h%/ yti}$$If!vh#vh%:V l t06,5h%yti$$If!vh#v>#v #v :V l t065>5 5 ytt$$If!vh#v#vp#v*:V l t0655p5*ytt$$If!vh#v":V l t06,5"yt^^T$$If!vh#v#vR :V l t0*'655R / yt $x666666666vvvvvvvvv666666>6666666666666666666666666666666666666666666666666hH6666666666666666666666666666666666666666666666666666666666666666662 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@66666_HmH nH sH tH D`D NormalCJOJQJ_HmH sH tH LL !!F Heading 1$$@&a$5>*CJOJQJDA`D Default Paragraph FontVi@V  Table Normal :V 44 la (k (No List 44 Header  !4 @4 0Footer  !.)@. Page NumberTC"T Body Text Indent & F8^8`6U`16 G Hyperlink >*B*phRYBR T6 Document Map-D M OJQJ^JjSj T6 Table Grid7:V0HbH  Balloon TextCJOJQJ^JaJFV qF "FollowedHyperlink >*B* ph:/: (M0 Footer Char CJOJQJB' B 2[ 0Comment ReferenceCJaJ88 2[ 0 Comment TextCJB/B 2[ 0Comment Text CharOJQJ@j@ 2[ 0Comment Subject5\N/N 2[ 0Comment Subject Char5OJQJ\Rv!R 10Unresolved MentionB*ph`^\q P@P t List Paragraph ^m$ OJQJaJN"N t0Caption 6B*CJOJQJ]aJphI}\\ z~Level 1(! & F01$7$8$@&H$^`0 OJQJaJ./!. z~0A0B*CJaJph"FF z~0Pa0#d7$8$H$OJPJQJ^JaJPK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭Vj\{cp/IDg6wZ0s=Dĵw %;r,qlEآyDQ"Q,=c8B,!gxMD&铁M./SAe^QשF½|SˌDإbj|E7C<bʼNpr8fnߧFrI.{1fVԅ$21(t}kJV1/ ÚQL×07#]fVIhcMZ6/Hߏ bW`Gv Ts'BCt!LQ#JxݴyJ] C:= ċ(tRQ;^e1/-/A_Y)^6(p[_&N}njzb\->;nVb*.7p]M|MMM# ud9c47=iV7̪~㦓ødfÕ 5j z'^9J{rJЃ3Ax| FU9…i3Q/B)LʾRPx)04N O'> agYeHj*kblC=hPW!alfpX OAXl:XVZbr Zy4Sw3?WӊhPxzSq]y 3N3N ,,,,,,,,,/  0R3  !#$&) > s h .uT 3"%  3X /!8@0(  B S  ? _Hlt3820849 _Hlt3820850  4@@  4   14tx02   143333dd   /14PX{PYdn  , , - - / / ; D s t   # QRRVW|78XXgh   .14VΠvz| c.}yS"bb-.o+=ЖpAXp`BdB nW1K̰Y"VD-DZdNZxjC7eưkG.t }nh>j&*........ ^`5CJOJQJaJo(hH**^*`OJ QJ ^J o(hHo^`OJ QJ o(hH^`OJQJo(hH  ^ `OJ QJ ^J o(hHojj^j`OJ QJ o(hH::^:`OJQJo(hH  ^ `OJ QJ ^J o(hHo^`OJ QJ o(hH ^`5CJOJQJaJo(hHhh^h`OJ QJ ^J o(hHo88^8`OJ QJ o(hH^`OJQJo(hH  ^ `OJ QJ ^J o(hHo  ^ `OJ QJ o(hHxx^x`OJQJo(hHHH^H`OJ QJ ^J o(hHo^`OJ QJ o(hH^`o()  ^ `hH.  L^ `LhH. x^x`hH. H^H`hH. L^`LhH. ^`hH. ^`hH. L^`LhH. 88^8`5CJOJQJaJo(hH^`OJ QJ ^J o(hHo^`OJ QJ o(hHTT^T`OJQJo(hH$ $ ^$ `OJ QJ ^J o(hHo  ^ `OJ QJ o(hH^`OJQJo(hH^`OJ QJ ^J o(hHodd^d`OJ QJ o(hH8^8`o() ^`hH.  L^ `LhH.  ^ `hH. x^x`hH. HL^H`LhH. ^`hH. ^`hH. L^`LhH. ^`OJQJo(^`OJ QJ ^J o(o pp^p`OJ QJ o( @ @ ^@ `OJQJo(^`OJ QJ ^J o(o ^`OJ QJ o( ^`OJQJo(^`OJ QJ ^J o(o PP^P`OJ QJ o(8 ^`5CJOJQJaJo(hH8^`OJ QJ ^J o(hHo8^`OJ QJ o(hH8  ^ `OJQJo(hH8\ \ ^\ `OJ QJ ^J o(hHo8,,^,`OJ QJ o(hH8^`OJQJo(hH8^`OJ QJ ^J o(hHo8^`OJ QJ o(hH8^8`.^`. L^ `L. ^ `.x^x`.HL^H`L.^`.^`.L^`L.^`)^`.pLp^p`L.@ @ ^@ `.^`.L^`L.^`.^`.PLP^P`L.^`5)^`.pLp^p`L.@ @ ^@ `.^`.L^`L.^`.^`.PLP^P`L. ^`OJQJo(^`OJ QJ ^J o(o pp^p`OJ QJ o( @ @ ^@ `OJQJo(^`OJ QJ ^J o(o ^`OJ QJ o( ^`OJQJo(^`OJ QJ ^J o(o PP^P`OJ QJ o( ^`OJQJo(^`OJ QJ ^J o(o pp^p`OJ QJ o( @ @ ^@ `OJQJo(^`OJ QJ ^J o(o ^`OJ QJ o( ^`OJQJo(^`OJ QJ ^J o(o PP^P`OJ QJ o( $ $ ^$ `5CJOJQJaJo(hH  ^ `OJ QJ ^J o(hHo\ \ ^\ `OJ QJ o(hH,,^,`OJQJo(hH^`OJ QJ ^J o(hHo^`OJ QJ o(hH^`OJQJo(hHll^l`OJ QJ ^J o(hHo<<^<`OJ QJ o(hH8^8`o(.^`.L^`L.~ ^~ `.N^N`.L^`L.^`.^`.L^`L. ^`5CJOJQJaJo(hHLL^L`OJ QJ ^J o(hHo^`OJ QJ o(hH^`OJQJo(hH^`OJ QJ ^J o(hHo  ^ `OJ QJ o(hH\ \ ^\ `OJQJo(hH,,^,`OJ QJ ^J o(hHo^`OJ QJ o(hH^`o()^`.pLp^p`L.@ @ ^@ `.^`.L^`L.^`.^`.PLP^P`L.8^8`o(.^`.pL^p`L.@ ^@ `.^`.L^`L.^`.^`.PL^P`L.h^h`)^`)8^8`)^`()^`()p^p`() ^ `.@ ^@ `. ^ `. ^`OJQJo(^`OJ QJ ^J o(o pp^p`OJ QJ o( @ @ ^@ `OJQJo(^`OJ QJ ^J o(o ^`OJ QJ o( ^`OJQJo(^`OJ QJ ^J o(o PP^P`OJ QJ o(YV| Z-.C7e`BdBS"W1K}npA+=-DZkG.t` @hh^h`56>*CJOJ QJ o(o  @h 8^8`OJQJo(`@hh^h`56>*CJOJ QJ o(o0.P1.2.3.@4.5. 6.p7. AutoList1t'        t'        >        t'                          X2                          h`I                          t'        (        Hu                 Pp                 t@5* 2[ } \ U@).y5TT6oM&f4 "$5'l:'j'?)6o)++/#A/R|/.01pl3w4P56 9@:,H=/@~CDsJE!!F]Fj:GtwJ(MCMR-FR7KS?ZT V?WY*Zu[H\>^^ `Gab%cf8eIfg gDgxgbi6jgj}kfek$mxp:3rFst?tWt1uFv\Rv*z_{v{jF}e}z~#~MQ%3Gvq S sBkM@ g H)G\[ }b$P +_ sl4m9k#@Z\jGYx=Sg-I[I6 ^^2wBitq0i P$ivD ?AHL%+QR}_PL9 A&g* .@o@ 3@Unknown G.[x Times New Roman5Symbol3. .[x ArialA. Trebuchet MSABook Antiqua5. .[`)Tahoma3.[x Times7..{$ CalibriC.,.{$ Calibri Light?= .Cx Courier New;WingdingsA$BCambria Math"h::sGd d !20 3q@P?t@2! xx[ BFor ORS Use: Protocol #__________ Date Approved ________________Authorized UserTabbi Miller-Scandle`                Oh+'0(8 Xd    DFor ORS Use: Protocol #__________ Date Approved ________________Authorized UserNormalTabbi Miller-Scandle2Microsoft Office Word@@pyF@@d  ՜.+,D՜.+,< px    CFor ORS Use: Protocol #__________ Date Approved ________________ Title 8@ _PID_HLINKSA r$mailto:gary.kwiecinski@scranton.edu  !"#$%&')*+,-./123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`bcdefghjklmnopsRoot Entry FuData (1Table0aWordDocumentsNSummaryInformation(aDocumentSummaryInformation8iCompObjr  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q