Form Revised Spring 2016
(Design Revised May 2018)
INSTITUTIONAL COMMITTEE FOR THE CARE AND USE
OF LABORATORY ANIMALS IN EXPERIMENTATION
Committee’s Response to Reviewed Application
Date ______________ Principal Investigator or Advisor _______________________________
Campus Address __________________ College _____________________________________
Department/Unit_______________________________________________________________
Project Title __________________________________________________________________
APPROVED
AS PRESENTED
APPROVED WITH
STIPULATIONS
NOT APPROVED FOR THE
FOLLOWING REASONS
C. Brown
S. Difurio
B. Greene
T. Howard
J. Matson
C. Murray
T. Verble
J. Weatherly
Signature: Dr. Steve Hayslette, Chair