University of Central Oklahoma
Institutional Animal Care & Use Committee
Application for Course Projects Using Vertebrate Animals
Course Instructor:
Campus email:
Department:
Campus phone:
Course Title:
Course Number:
Semester(s) to be offered:
Fall
Spring 20
Summer 20
[Check all that apply]
Note: Approval is for one academic year.
Class project/exercise includes the following Animal Use categories:
Field study involving no manipulation or significant disturbance of animals (see A)
Field study involving manipulation or disturbance of animals (see B)
Laboratory study or demonstration (see C)
Animals to be utilized in the proposed project:
Species
Common Name
# of Animals
Species
Common Name
# of Animals
Species
Common Name
# of Animals
Species
Common Name
# of Animals
[Provide additional categories on a separate page if needed.]
Provide a rationale for the species and number(s) of animals to be used.
Scientific Collector’s Permit included? Yes
N/A
Methodology: (Check all that apply)
Behavioral observation
Contact with live animals
Free-ranging animals
Trap/mark with release
Surgical procedures
Trap/mark and hold
Diet manipulation
Habitat or environment manipulation
Drug administration
A. Observational projects:
1) Describe the type of observations expected.
2) How will observations be accomplished?
3) What types of observer/animal interactions are expected?
4) Describe the location of the animals under observation.
B. Manipulation or disturbance projects:
1) Describe the method of capture.
2) How long animals will be held until processed?
3) Will the animals be recaptured?
4) Will the procedures cause pain or discomfort? If so, how will it be relieved or managed?
5) What will be the final disposition of the animals?
6) Describe the method of euthanasia if applicable.
7) List the source or location of animals to be used.
C. Laboratory studies or demonstrations:
1) List the source of animals to be used.
2) Describe the methods to be used.
3) Will the procedures cause pain or discomfort? If so, how will it be relieved or managed?
4) Describe how long the animals will be held, where, and who will provide care.
5) What will be the final disposition of the animals?
6) Describe the method of euthanasia if applicable.
[If available, provide a copy of the exercise description given to the students.]
Course Instructor’s Assurance:
I have read the ethical guidelines of the professional organization covering the species of animals
involved in this project and I agree to abide by those guidelines. I further agree to educate students
on the need and consequences of working with vertebrate animals and I will be responsible for
monitoring students involved in these projects to insure that the guidelines are adhered to.
_____________________________________
Signature
____________________________
Date
Submit one hard copy of the original signed application to:
UCO Institutional Animal Care and Use Committee
Office of Research Compliance
NUC 341, Box 132
Submit one electronic copy as an attachment to e-mail to iacuc@uco.edu.
Please note your application will not be processed until the original signed application is received.