Duke University Medical Center
Research Animal Coordinator Training and Certification Program
Application
The Duke University Animal Care and Use Program (ACUP) is hosting the Research Animal Coordinator Training
and Certification Program. This program is designed to enhance an individual’s knowledge of important animal
research topics and facilitate smooth and efficient animal based research in the laboratory. Training includes
federal regulations, Duke’s policies, animal handling and welfare principles. Successful individuals will be
certified as a coordinator within their laboratory to disseminate knowledge, provide training, speed-up protocol
processing, and ensure animal welfare and protocol compliance within their laboratory.
To enroll in the RAC training program please complete this form and e-mail it to w.wade@duke.edu or fax it to
919.668.6725. Enrollment is limited to one person per laboratory or per principal investigator.
1. Name of laboratory member (applicant): ___________________________________________
 Educational background and/or degrees: ___________________________________________
 Contact number: ___________________________________________
 Email address: ___________________________________________
2. Principal investigator recommending this applicant: ___________________________________________
 Contact number: ___________________________________________
 Email address: ___________________________________________
3. Protocol number(s) associated with this laboratory: ___________________________________________
 Animal species on protocol(s):_________________________________________________________
 Animal procedures on these protocols (please indicate which species the procedure will be
performed on if using >1 species):
__________________________________________________________________________________
__________________________________________________________________________________
 Some/all animals in this laboratory or under these protocols are housed in laboratory space and
husbandry services are provided by the PI or laboratory staff (i.e., they are not in a DLAR managed
area)
Yes No (choose one)
4. The principal investigator should approve this application by hard copy signing this application, providing an
electronic signature, or sending an email endorsement for the applicant to participate in the Research
Animal Coordinator Certification Program. Eligibility criteria for RACC applicants:
 Be approved by a Duke principal investigator
 Be a permanent employee of Duke University
 Have a role within the laboratory of animal care/use oversight, management, care, or research (e.g.,
lab manager, senior lab associate, principal lab person, primary lab contact, responsible person for
animal care)
Signature of the applicant: ______________________________________ Date: ___________________
Signature of the principal investigator: _____________________________ Date: ____________________
<NOTE: DOCUMENTS SENT FROM A ‘DUKE.EDU’ EMAIL ADDRESS ARE CONSIDERED ELECTRONICALLY SIGNED>
Need More Info?
If you would like more information on the Research Animal Coordinator Training and Certification Program,
including an outline of all required courses and evaluation requirements, please contact: Bill Wade at
w.wade@duke.edu or 668.6722