FOR IACUC USE
UNIVERSITY OF WYOMING
Protocol #___________________________
Semester/ year approved for instruction
involving the use of animals: __________
INSTITUTIONAL ANIMAL CARE AND USE COMMITTEE
Teaching Protocol Form
Required informational sheet for instruction involving the use of animals. This form may only be used for
observational and/or non-invasive instruction. For all other types of instruction involving animals, please
complete the full IACUC Protocol Form.
The informational sheet must be filled out and submitted by the faculty member instructing the class using the
animals before the first day of class during the semester in which the students will be using the animals.
This sheet should be used for class projects or assignments designed to provide students with an opportunity to
work with animals as part of a class. If the animals will be used in research, research training, experimentation,
biological testing, or exhibition purposes, the faculty member or student must submit a full IACUC protocol.
The informational sheet should be submitted to the IACUC in care of:
Institutional Animal Care and Use Committee
1000 East University Avenue, Dept. 3355
Room 308, Old Main
Laramie, WY 82071
Phone: 307-766-5322
Fax:
307-766-2608
email: IACUC@uwyo.edu
The informational sheet must include the following information:
1)
Name:
Title:
Institution:
Department:
Phone:
Fax:
Email:
Address:
2) Title, semester of class.
3) Purpose for the use of the animals (in lay terms).
4) Description of the procedures, including:
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Overview of procedures
Number of animals and species
Type and duration of restraint
Name and dose of anesthesia and/or tranquilizer (contact attending veterinarian)
Surgical procedures and post-surgical care
Justification for species chosen (lowest possible species on phylogenetic scale)
If euthanasia will be used, include (1) the method, (2) the drug and dosage, and (3) the disposal of the
animal remains. If animals will not be euthanized, describe plan for future use or other dispersal.
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5) Describe the training that will be provided to the students to ensure that they are appropriately
qualified and trained to conduct the procedures.
6) Attach a copy of the course syllabus and any other relevant information (e.g., lab manual)
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