Visitor Questionnaire
Preferred Title:
Ms/Mrs/Mr/Dr/Prof/?.
Family Name:
Exactly as on passport.
First Name/Initials:
Exactly as on passport.
Telephone:
Include country code.
Position:
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Supervisor Name:
For PDFs, students, and technicians.
Email:
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Supervisor Contact:
Email preferred.
Institution:
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Area of Expertise:
By category, if applicable (Taxonomic, Geographic, Molecular, etc.)
Mailing Address:
Street Address, City.
Postal Code, Country.
Research Background (Please attach a recent Curriculum Vitae with details)
Briefly list universities attended, degrees received and major career stages, with years.
Describe Your Project
Title:
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In approximately 100-500 words, please describe your project (e.g. molecular versus taxonomy) your goals for how
barcoding will affect your research, and what you hope to accomplish at the Canadian Centre for DNA Barcoding.
Note: Priority will be given to projects involving the generation of reference data from taxa and/or geographic areas not covered
by the existing DNA barcode reference library (www.boldsystems.org).
Reference from the Biodiversity Institute of Ontario
Do you have a counterpart at BIO who is aware of your research and agrees to serve as internal reference and host
for your visit? If yes, please provide name and e-mail.
☐ Yes ☐ No
Reference Name:
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Reference Email:
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End Date:
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Visit Details
Please specify the preferred time of your visit
Start Date:
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Will there be members of your family accompanying you to Canada?
☐ Yes ☐ No
If yes, provide details below.
Full Name:
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Relation:
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Full Name:
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Relation:
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Full Name:
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Relation:
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Full Name:
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Relation:
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Visitor Questionnaire
Visa
Do you and/or your family members require a visa to enter Canada?
☐ Yes ☐ No
Do you require an official letter of invitation from the CCDB?
☐ Yes ☐ No
If yes, does this letter need to mention your family member(s)?
☐ Yes ☐ No
Note: You will be responsible for any costs involved in obtaining the Canadian visa, including fees and travel expenses incurred.
Travel
Do you require support for flight bookings?
☐ Yes ☐ No
Do you require arrangements for airport pick-up and drop-off?
☐ Yes ☐ No
Accommodation
Do you require support for accommodation arrangements?
☐ Yes ☐ No
If yes, do you agree to share an apartment with another visitor?
☐ Yes ☐ No
Additional Arrangements
If you have specific accommodation requirements, dietary restrictions, etc. please specify them below.
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Language
All CCDB operations are conducted in English; therefore basic oral and written skills are a prerequisite for this
training experience. For people who are not native English speakers, assistance can be provided in some other
common languages. If you feel that you may require such assistance, please specify details below.
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Funding. Please note: priority will be given to applicants possessing funds to cover the entire cost of their visit
☐ Yes ☐ No
Do you have funding to pay for your travel costs?
Do you have funding to pay for your accommodation costs? ☐ Yes ☐ No
Do you have funding to pay for your per-diem allowance?
☐ Yes ☐ No
Do you have funding to pay for your personal insurance?
☐ Yes ☐ No
Note: You will be responsible for all travel and accommodation expenses incurred within your home country, as well as
transportation within Guelph (including car rental and public transit). Housing is located within walking distance from the CCDB
and a shopping mall; for special requests, private transport arrangements may be made with your colleagues at BIO.
Do you have funding to cover training fees and/or laboratory bench fees?
☐ Yes ☐ No
Do you have funding to cover sample processing and analytical costs?
☐ Yes ☐ No
Note: If funding support is required for any part of your visit, please provide the name and contact details of the person at BIO
who agreed to cover these expenses (e.g. BIO faculty member) and details on the funding source (e.g., training programme).
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Visitor Questionnaire
Specimens
Will you be bringing specimens (vouchers or tissue) for analysis at the CCDB? ☐ Yes ☐ No
If yes, please specify details below.
Specimen Details
In order for the DNA sequences to be recoverable and to qualify as reference barcodes, their source specimens
must meet a set of standard criteria. Please indicate which of these criteria applies to your materials:
1. Specimens have been collected recently and were killed and preserved using DNA-friendly
methods as outlined in (provide link?)
☐ Yes ☐ No
2. Professionally prepared collection vouchers are available for all specimens.
☐ Yes ☐ No
3. All voucher specimens are deposited in a professionally curated permanent collection
(e.g., museum) and are available for taxonomic reexamination by interested experts.
☐ Yes ☐ No
4. All specimens have been authoritatively identified to species by a taxonomic expert.
☐ Yes ☐ No
5. All specimens have detailed collecting information, including precise geographic locality with
coordinates, collection date, and name(s) of collector(s), which is available in digital format
(e.g., electronic spreadsheet or database) and replicated on labels attached to the vouchers.
☐ Yes ☐ No
6. All specimens have good quality digital images depicting their diagnostic characters.
☐ Yes ☐ No
7. Each specimen has a unique catalog number (or equivalent) which unambiguously links it
with all physical and informational derivatives (including tissue samples, data records and
images) and allows locating it within the collection where it is deposited.
☐ Yes ☐ No
If the answer to ANY of the above questions is NO, please provide a brief explanation below
e.g. “Specimens will be analyzed consumptively” or “Specimens will be deposited in a museum (specify name)
after the termination of the project” or “Some specimens identified to genus only because they represent
morphologically cryptic taxa.”
Please provide general information on the specimens you plan to bring, including broad taxonomic groups (e.g.,
“Malacostraca”) and their broad geographic origin (e.g., “Kenya” or “Northern Atlantic”), overall number of
specimens per large taxonomic group, minimum-maximum number of specimens per species, their form of
preservation (whole vouchers or tissue samples, type of fixative), and whether they will require subsampling upon
arrival at the CCDB. Indicate whether the specimens require subsampling or ready for immediate analisys.
Broad Taxonomic
Group
Geographic
Origin
Overall
Quantity
Specimens per
Species
Form of
Preservation
Requires
Subsampling?
e.g. Malacostraca
e.g. Kenya
e.g. 15-20
Approx 3-4
e.g. whole, EtOH.
☐ Yes ☐ No
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Visitor Questionnaire
Subject to successful approval of your application, do you agree to submit all specimen data and images to BOLD
prior to the beginning of your visit?
☐ Yes ☐ No
Note: It is a requirement that all specimen data records and images are submitted to BOLD prior to the beginning of the training and that tissue
samples are arrayed in 96-well microplates and ready for DNA extraction. Standard sampling kits and data submission templates will be supplied
to sample providers upon request.
If the answer is NO, please provide a brief explanation below
e.g. “Specimens will be databased and imaged at the CCDB as part of the training experience”
Note: Data conversions, specimen arraying, imaging and sampling/subsampling at the CCDB require additional time and staff resources and are
only justified if learning the techniques of front-end specimen processing is part of the scheduled training experience. If staff resources are
limited, then such projects are less likely to be approved.
Specimen Import/Export Details
Please specify which of the definitions below best describe the ownership rights for these specimens:
☐
Your personal property
☐
Your personal research collection (property rights undefined)
☐
Personal research collection of your supervisor or colleagues (property rights undefined)
☐
Institutional research collection (property rights undefined)
☐
Institutional property
☐
Provincial/state/territorial/regional property
☐
National/federal property
☐
Other - please specify: Click here to enter text.
If the specimens are not your personal property or part of a personal research collection, please confirm that you
have sufficient authorization to export these specimens using the space below:
e.g. “Permission to analyze samples granted by my supervisor, Prof. ****”
Note: It is your responsibility to ensure that your samples were collected legally under appropriate permits, and that the transfer
of biological materials has been approved by the relevant national, regional and institutional authorities or regulatory agencies.
An valid export permit certified by your national authority will be required for importing specimens into Canada.
Do you and the owner(s) of these specimens agree to the default provisions of the CCDB Biological Material
Transfer Agreement (BMTA) outlined in (ccdb.ca/CCDB_DOCS/BMTA.doc)?
☐ Yes ☐ No
If not, please specify: Click here to enter text.
What are the loan conditions on which you will be bringing your specimens (refer to above BMTA for explanation):
☐ Donation
☐ Permanent loan
☐ Temporary loan
Do you plan to take back aliquots DNA extracts obtained at the CCDB?
☐ Exchange
☐ Yes ☐ No
(NB: Irrespective of the loan conditions an aliquot of genomic DNA will be stored at the CCDB for quality control until the completion
of your research project)
Do any of your specimens belong to CITES-listed species?
☐ Yes ☐ No
IF “yes”, is your institution registered with your National CITES Authority?
☐ Yes ☐ No
Do you require assistance in finding out Canadian import requirements?
☐ Yes ☐ No
Do you need advice on specimen preparation/ preservation for transport?
☐ Yes ☐ No
Please email completed form to <info@ccdb.ca>
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