UCD – Lyons Research Farm Application for use of resources Revised September2011 1 University College Dublin – Lyons Research Farm Application for use of Resources Section 1: Applicant Details; Name of applicant: Date: (Academic staff member responsible) School: Other project team members; (1) (2) (3) Project Title; New Project; (select) Additional phase of existing project; (select) Original Project Code Number; Proposed Start Date; Proposed End Date; Purpose of Project; (select) Signature of Applicant; Date: Section 2: Brief Project Summary (max 200 words); Send an electronic copy of this application to finbar.mulligan@ucd.ie (Chairman Lyons Mgt Committee) vivian.gath@ucd.ie (Named Vet Surgeon) edward.jordan@ucd.ie Lyons farm manger. Office use only; Date received;_____________ Project No.;__________ Outcome;_________________________________________________________ UCD – Lyons Research Farm Application for use of resources Revised September2011 2 Section 3 Licensing and UCD Research Ethics Committee Requirements; Experimental license (Cruelty to Animals Act, 1876) Do you require a license under the Cruelty to Animals Act, 1876; (select) Do you have such a license; (select) Animal Remedies Regulation (1996) Does your protocol include the use of a pharmaceutical substance; (select) Identify Substance; Is this substance licensed in Ireland for the species in which it is to be used; (select) Product authorisation number; Legal category; If the product is not registered do you have a clinical trials licence; (select) Genetically Modified Organisms Regulations (1994) Does your protocol involve the use of Genetically Modified Organisms; (select) If yes have you notified the College Biosafety Officer; (select) Do you have a licence to use Genetically Modified Organisms from the Environmental Protection Agency of Ireland; (select) UCD Research Ethics Committee approval; Does your protocol involve the use of live animals; (select) Do you have such approval from the UCD Research Ethics Committee; (select) (attach (i) copy of request form or (ii) letter of approval) Section 4 Land Requirements Area; Location; Condition at beginning; Condition at end; Other inputs beyond those required for a commercial crop; UCD – Lyons Research Farm Application for use of resources Revised September2011 3 Section 5 Building Requirements Section 6 Animal Requirements Animal numbers; Type; Source; Other inputs beyond those required for a commercial enterprise; Section 7 Machinery Requirements Section 8 Labour Requirements Farm worker; Technical; Other; Section 9 Projected Financial Costings (consult with the Farm Manager) Number of hours Labour: Ordinary time Overtime Farm Worker Technical Other Machinery: Tractor Hours Other Housing: Other inputs and services: Any and all costs incurred that are greater than the difference between sale and purchase price will be covered by the research grant. Revenue foregone Percentage shortfall on commercial performance; Total extra costs; Total revenue lost; Cost of project; UCD – Lyons Research Farm Application for use of resources Revised September2011 Section 10 Project Funding Research Project Do you have any funding available to support the cost of this project; (select) If yes give details; Net cost to Lyons; Teaching project Has the cost of the class been agreed with the Head of School; (select) Section 11 Publications Relevant publications (list maximum of 3) Do you propose publishing the results from this project; (select) If yes indicate likely publication; Section 12 Details of Project 4