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  • APPLICATION TO PERFORM RESEARCH WITH DNA, BIOLOGICAL AGENTS OR ANIMALS

  • This form must be completed for all projects that involve research with recombinant DNA, animal viruses, potential pathogens, animal or human tissues or bodily fluids, and experimentation with live animals (please see "Human Subject and Animal Use Guidelines" for exceptions). This form must be approved before any research begins. Participants will be contacted if there are problems with their project.

  • FOR WBRSF USE ONLY

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  • PARTICIPANT INFORMATION

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • PROJECT SUPERVISOR (Teacher, Instructor or Researcher)

  • Format: (000) 000-0000.
  • PROJECT INFORMATION

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  • PROJECT SUMMARY

  • Please provide a brief summary of your proposed research (up to approx. 250 words). The summary should include the purpose of the
    research (i.e. what the information will be used for), special precautions taken in the handling (and disposal) of biological materials, and
    steps taken to minimize distress to experimental animals (if applicable).
  • DECLARATION

  • I hereby certify that the information given above is correct and to the best of my knowledge the above project complies with the
    guidelines for the use of animals or biological material in science fair projects as stipulated by the Wood Buffalo Regional Science Fair.
    I have read the "Safety Regulations" and "Human Subject and Animal Use Guidelines" and agree to abide by these regulations. If I have
    done research with animals, I have taken every effort to minimize distress and discomfort. Projects that involve the manipulation or
    cloning of recombinant DNA, the use of bacteriophages, or the use of transgenic organisms may only be performed by Junior or Senior
    students. Projects that involve working with animal viruses, pathogens, human tissues or bodily fluids, or experimentation that will cause
    significant distress or injury to vertebrates may only be conducted by Senior students under the supervision of a qualified researcher.
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  • Contact Louis Dingley, WBRSF Safety and Ethics Committee, Louis.dingley@keyano.ca, Keyano College, 8115 Franklin Ave., Fort
    McMurray, AB, T9H 2H7
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