Clarion University of Pennsylvania
Animal Care and Use Committee
PROTOCOL FOR RESEARCH USE OF ANIMALS
A. Administrative Information:
Date Filed:
Investigator:
Title:
Address:
Telephone
Work: Home:
Type of Project (research, education, etc.):
Funding Source (if not applicable, write N/A):
Start of Project:________________________ End of Project:__________________________
Species:_______________________________ Number used*:__________________________
Cage Size:______________________________ Number of Cages:________________________
*It is the responsibility of the P.I. to maintain up-dated records of animals used in experiments in the log
Provided for this purpose in the Animal Facility.
I have received a copy of “Animal Room Procedures” which explains the operations of the Animal
Facility at Clarion University. I understand them and agree to operate in accordance with them.
________________________________________ ___________________________
Project Supervisor Date