Institutional Animal Care and Use Committee (IACUC)


Review of Animal Use Protocol (AUP) Application Form
1. Title of the project:
2. Principal Investigator:
Name:
Degree:
Faculty:
Department:
Academic Rank:
Email:
3. Co – Investigator(s):
Name(s) Degree Rank Faculty/Department












4. Request for Review Date:
Project Starting Date
Project Ending Date
5. Site where the study will be conducted:
6. Project Funding:
     

If yes, indicate the source of funding


Grant Number PI Start Date End Date
7. Total Budget:
Please provide a detailed breakdown of the budget in terms of:

a. Animal Use and Care
b. Equipment
c. Personnel
8. Animals Used in the research protocol:
The number of animals used in the research protocol
Declaration
I have read and understood the University of Balamand Research Ethics policy, and I agree to abide by the Animal Care and Use Committee (ACUC) guidelines governing research protocols involving animals.
Principal Investigator
Signature
Date
After submitting this application along with the requested forms, please email a document describing the project and the protocols involving animals to: IACUC@balamand.edu.lb