ࡱ> =?<] bjbj:: 4(X*\X*\ j j <2&`F:[[[s&u&u&u&u&u&u&$T) ,&[[[[[&&[ s&[s&rg$TC%0/e:$_&&0&$z,`,C%,C%[[[[[[[&&[[[&[[[[,[[[[[[[[[j > : CALIFORNIA STATE UNIVERSITY LONG BEACH Office of University Research Animal Resources LAST NAME:______________________________ FIRST: _____________________ Principal Investigator: ___________________ Department: ________________ IACUC Project Number: __________________ Species: __________________ PARTICIPATION AGREEMENT I have received from the Animal Resources Facilities (ARF) Coordinator, reviewed, and understand the Animal Resources General Orientation information. I have received training from a member of the ARF staff and successfully completed the Animal Care and Use interactive training module located on the Office of University Research website ( HYPERLINK "http://www.csulb.edu/divisions/aa/research/compliance/" http://www.csulb.edu/divisions/aa/research/compliance/) I have received training from a member of the ARF staff and successfully completed the CNSM Safety Training Quiz. I have read and understand the IACUC protocol (provided by the Principal Investigator) listed above. I understand my responsibilities and obligations as an employee, student, volunteer and/or supervisor under the provisions of the standards and regulations of the Animal Welfare Act and ILAR Guide. ( HYPERLINK "http://awic.nal.usda.gov/government-and-professional-resources/federal-laws/animal-welfare-act" http://awic.nal.usda.gov/government-and-professional-resources/federal-laws/animal-welfare-act and  HYPERLINK "http://grants.nih.gov/grants/olaw/Guide-for-the-Care-and-use-of-laboratory-animals.pdf" http://grants.nih.gov/grants/olaw/Guide-for-the-Care-and-use-of-laboratory-animals.pdf) I agree to work at all times in complete accordance with all the ARF policies and procedures, and to protect the health and safety of the animals I work with and equally importantly, myself and those around me. I have been adequately trained to perform the tasks necessary, and if or when I need additional training, I agree to contact either the Principal Investigator, ARF Coordinator, or ɫ veterinarian for additional information and/or training. I will not direct others to work with live animals unless that individual has been adequately trained and has demonstrated adequate skill to perform the activity safely. When working with animals under the purview of ɫ I agree to abide by the policies, rules, and regulations of ɫ, the State of California, and United States Government. SIGNATURE: ___________________________________ DATE: ________________ REMEMBER: Individuals may not work on any IACUC approved protocol until a signed participation agreement with the protocol number and signature is filed with the ARF Coordinator and the above individuals name is listed on the approved IACUC protocol. Your training is not complete until you have taken and passed the quiz. The certificate of completion for this quiz must be returned to the ARF Coordinator. 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