SOUTHWEST FOUNDATION FOR BIOMEDICAL RESEARCH

Request to Use SNPRC Resources (Live animals for research studies)

For information on the resource request process, click here.

If you wish to request biomaterials, click here.

A. Personal Data
Name:
Institution:
Address:

City:
State/Province:
Postal Code:
Country:
Phone:
Fax
E-mail:
B. Project Information
Title:
An SFBR IACUC protocol has been submitted for this project.:
IACUC Number:
C. Will the resource be used for NIH-funded research?
Please supply the following information:
Grant Number :
Title:
Principal Investigator :
Please supply the following information: :
Submission Date :
Title:
Principal Investigator :
If No, please supply the following information:
Funding Source :
D. Animal information
Species:
Number of Animals Needed:
Sex:
Age:
Duration of Study:
Months
Planned Start Date of Animal Work:
[month/day/year]
E. Housing Information
Will this project require special containment housing? If yes, please specify containment level:
F. Provide a brief overview of the project (3000 characters or less).

G. If you have discussed this request with an SNPRC staff member, please provide a name.
SNPRC Staff Member Name: