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    Human and Vertebrate Animal Tissue Form (6B) : Student's Name(s) Title of Project

    Uploaded by

    MUYCO RISHEL
    This document provides a form for research projects involving human or vertebrate animal tissue. The form collects information on what tissues will be used, where they will be obtained from, and certification that they will be handled properly and obtained ethically. Researchers must indicate what tissues their project involves, such as blood, organs or cell lines, and provide details on the source. If tissues come from animals, documentation of ethical approval is required. A supervisor must verify tissues will be safely supplied and handled according to regulations.

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    © All Rights Reserved
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    Human and Vertebrate Animal Tissue Form (6B) : Student's Name(s) Title of Project

    Uploaded by

    MUYCO RISHEL
    15 views1 page
    This document provides a form for research projects involving human or vertebrate animal tissue. The form collects information on what tissues will be used, where they will be obtained from, and certification that they will be handled properly and obtained ethically. Researchers must indicate what tissues their project involves, such as blood, organs or cell lines, and provide details on the source. If tissues come from animals, documentation of ethical approval is required. A supervisor must verify tissues will be safely supplied and handled according to regulations.

    Original Description:

    animal tissue

    Original Title

    6B-Human-Vertebrate-Animal-Tissue

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    This document provides a form for research projects involving human or vertebrate animal tissue. The form collects information on what tissues will be used, where they will be obtained from, and certification that they will be handled properly and obtained ethically. Researchers must indicate what tissues their project involves, such as blood, organs or cell lines, and provide details on the source. If tissues come from animals, documentation of ethical approval is required. A supervisor must verify tissues will be safely supplied and handled according to regulations.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    15 views1 page

    Human and Vertebrate Animal Tissue Form (6B) : Student's Name(s) Title of Project

    Uploaded by

    MUYCO RISHEL
    This document provides a form for research projects involving human or vertebrate animal tissue. The form collects information on what tissues will be used, where they will be obtained from, and certification that they will be handled properly and obtained ethically. Researchers must indicate what tissues their project involves, such as blood, organs or cell lines, and provide details on the source. If tissues come from animals, documentation of ethical approval is required. A supervisor must verify tissues will be safely supplied and handled according to regulations.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    Human and Vertebrate Animal Tissue Form (6B)

    Required for research involving fresh/frozen tissue (including primary cell lines, human and other primate established cell lines
    and tissue cultures), blood, blood products and body fluids. If the research involves living organisms please ensure that the
    proper human or animal forms are completed. All projects using any tissue listed above must also complete Form 6A.

    Student’s Name(s)

    Title of Project

    To be completed by Student Researcher(s):

    1. What vertebrate animal tissue will be used in this study? Check all that apply.
    o Fresh or frozen tissue sample
    o Fresh organ or other body part
    o Blood
    o Body fluids
    o Primary cell/tissue cultures
    o Human or other primate established cell lines

    2. Where will the above tissue(s) be obtained? If using an established cell line include source and catalog number.

    3. If the tissue will be obtained from a vertebrate animal study conducted at a research institution attach a copy of
    the IACUC certification with the name of the research institution, the title of the study, the IACUC approval num-
    ber and a of IACUC approval.

    To be completed by the Qualified Scientist or Designated Supervisor:


    o I verify that the student will work solely with organs, tissues, cultures or cells that will be supplied to him/her by myself
    or qualified personnel from the laboratory; and that if vertebrate animals were euthanized they were euthanized for a
    purpose other than the student’s research.
    AND/OR
    o I certify that the blood, blood products, tissues or body fluids in this project will be handled in accordance with the
    standards and guidance set forth in U.S. Occupational Safety and Health Act, 29CFR, Subpart Z, 1910.1030 - Blood Borne
    Pathogens.

    Printed Name Signature Date of Approval (mm/dd/yy)


    (Must be prior to experimentation.)

    Title Phone/Email

    Institution

    Page 44 International Rules: Guidelines for Science and Engineering Fairs 2020–2021, societyforscience.org/ISEF2021

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