Comparative Medicine Responsible Care And Use Of Laboratory Animals (RCULA) Training Program Registration Form (Principal Investigator to be copied during registration) Full Name and NUS email (NUS Staff and Students) are required. Incomplete Forms will not be processed. NOTE: Please indicate your previous RCULA certificate serial number if any: S/No Section A ------------------------------------------------------------------------------------------------------------------------ Full Name Staff/ Student Matrix Number Title/ Function Department Email Contact Number PI or Supervisor’s Name & Email Course RCULA RCUF Section B Type of species (ONLY choose the species that you will be working with) Mouse Frogs (ONLY online module available) Others/Other Aquatics (ONLY online module Rat available) Aseptic Surgery Rabbit Guinea Pig Pig Fish Note: *Aseptic Surgery training is required for animal users performing animal surgeries routinely. Biopsy, necropsy and animal tissue harvesting are not considered surgical procedures. Section C Husbandry Restraint/Handling Surgery Wildlife/Field Observation Blood Collection Injection Gavage Anesthesia Type of animal contact Animal Biosafety level 2/3 Work Bloodborne Pathogens Work Cytotoxic* Work Others (e.g Breeding, etc) Section D Type of Personnel Research Staff/Personnel named on IACUC protocols Undergraduate/Post – graduate Students IACUC Members Animal Care Staff Maintenance and custodial workers Visitors Others Section E RCULA and RCUF Pre - Requisites Prior to all RCULA and RCUF hands on training, participants must: complete all the relevant assigned online modules receive tetanus vaccination from NUS Occupational health clinic. Section F RCULA and RCUF Administrative fees RCULA hands on charges are currently free of charge for NUS Staff and Students. All RCULA participants (NUS) are allowed a maximum of 3 re – schedules (EXCEPT medical leave) of RCULA Hands On Training Dates. The 4th RCULA training date re – schedule will result in an administrative charge of $125 by Comparative Medicine. An administrative charge of $125 by Comparative Medicine will be enforced to all RCULA/F participants (NUS) with NO SHOW on actual day of training with no prior notification to the RCULA team. RCUF hands on charges are currently free of charge for NUS Staff and Students. All RCUF participants (NUS) are allowed a maximum of 3 re – schedules (EXCEPT medical leave) of RCUF Hands On Training Dates. The 4th RCUF training date re – schedule will result in an administrative charge of $125 by Comparative Medicine. Type of Admin Charge/Category NO SHOW 4th Re‐schedule NUS Students/Staff S$125 S$125 External Participants Full Course Fees S$150 + Full Course Fees Note: Comparative Medicine reserves the right to re - schedule your RCULA hands on training to a later date (Maximum of 3 re – schedules and based on availability) if: the online modules are not completed before the scheduled date of hands on training tetanus vaccination is not taken before the scheduled date of hands on training Late arrival or early departure of more than 20 minutes on the actual day of training Please inform us 5 business days in advance in the event of no show on scheduled date of hands on training List of NUS – CM Tracks in AALAS Learning Library: A. B. C. D. E. F. G. NUS – CM Species-Specific Anesthesia, Analgesia, and Surgery Occupational Health and Safety Animal Biosafety Concepts US Mandates and Guidelines Facilities, Supplies, and Materials List of available RCULA and RCUF online modules specific to the NUS – CM tracks above: 1. Responsible Care and Use of Laboratory Animals (RCULA) Part 1A: Biomedical Research and Teaching 2. Responsible Care and Use of Laboratory Animals (RCULA) Part 1B: Wildlife and Field Studies 3. Responsible Care and Use of Laboratory Animals (RCULA) Part 1C: Fish for Scientific Purposes (RCUF) 4. Working with the Laboratory Mouse 5. Introduction to Rats 6. Mouse Breeding Colony Management 7. Introduction to Swine 8. Introduction to Rabbits 9. Introduction to Guinea Pigs 10. Working with Laboratory Xenopus 11. Working with Laboratory Zebrafish 12. Laboratory Animal Allergy (2014) 13. Bloodborne Pathogens Training for Animal Research 14. Concepts and Practices of Animal Biosafety: ABSL-2 and ABSL-3 15. Aseptic Technique for Rodent Survival Surgery 16. Inhalation Anesthesia Systems for Rodents 17. Post-Procedure Care of Mice and Rats in Research: Minimizing Pain and Distress 18. Aquatic Animal Husbandry and Management 19. 8th Edition of the Guide for the Care and Use of Laboratory Animals (2011) 20. AVMA Guidelines for the Euthanasia of Animals: 2013 Edition Section G Request for exemption A proof of previous training/or evaluation by CM Training Coordinator must be provided to be exempt from hands on training in specific modules. Since you need to be trained only for the procedures involved in your protocol(s), you do not have to request an exemption from modules that are not relevant to you. You will not be assigned to these modules. Exemption is only applicable to trained qualified individuals with relevant documented training and significant experience with certain specific animal models or surgical biomethods (minimum 5 years and above.) Note: Final Approval pertaining to training exemption will be at IACUC’s discretion. Please request the official IACUC exemption form from IACUC office at Email: iacuc_forum@nus.edu.sg for submission together with supporting documents. Exemption from the following module(s): Rodents Hands on ☐ Large Animals Hands on ☐ Surgical Hands on ☐ Fish/Frogs/Aquatics Hands on ☐