MONMOUTH UNIVERSITY
INSTITUTIONAL ANIMAL CARE AND USE COMMITTEE (IACUC)
STUDENT RESEARCH ASSISTANT TRAINING CERTIFICATION
This form must be completed by all students (undergraduate and graduate) prior to their involvement in
any animal research protocol. A separate form is required for each student and each animal research
protocol in which the student participates. The form must be co-signed by the Faculty Investigator.
A. IDENTIFYING INFORMATION
Faculty Investigator:
Protocol #:
Title of the Protocol:
B.STUDENT CERTIFICATION
I hereby certify that I have (check off all that apply):
___ read the animal research protocol listed above
___ completed the Use of Fishes in Research quiz available on eCampus
___ viewed the animal research Laboratory Animal Medicine and Science Series II CD-Rom appropriate
to the animal subject of the protocol - on reserve in the Office of the IRB/IACUC (please check titles
viewed)
___ Laboratory Animals: Alternatives to Traditional Use
___ Laboratory Animals: Laws, Regulations and Guidelines
___ Laboratory Animals: Rodent Anesthesia & Analgesia
___ Laboratory Animals: Rodent Surgery
___ Rats and Mice: Introduction in Research, Part I
___ Rats and Mice: Introduction in Research, Part II
___ Rats and Mice: Biology
___ Rats and Mice: Care and Management
___ Rats and Mice: Bacterial and Mycotic Diseases
___ Rats and Mice: Viral Diseases
___ Rats and Mice: Parasitic Diseases
___ familiarized myself with the contents of the Tutorial on the Public Health Service Policy on Humane
Care and Use of Laboratory Animals found at: http://grants.nih.gov/grants/olaw/tutorial/
___ completed the appropriate course at AALAS Learning Library (attach copies of certification)
___ received complete training from the Faculty Investigator in the maintenance procedures of the
Animal Facility.
I further certify that I will not perform animal research without direct supervision until I receive proper
training and can competently perform the appropriate procedures.
________________________________
Printed Name of Student
___________________________________
Signature of Student
___________________
Date
C. FACULTY CERTIFICATION
I hereby certify that ___, a student who will be working on the animal
(Typed Name of Student)
protocol listed above, has read the research protocol, viewed the CD-Rom, familiarized him/herself with the
PHS Policy Tutorial, completed appropriate courses at www.aalaslearninglibrary.org and has received
proper training in the maintenance procedures of the Laboratories located in ___. I further certify that this
student will not perform animal research without direct supervision until s/he is properly trained and can
competently perform the appropriate procedures.
______________________________________________
Signature of Faculty Investigator
_____________________
Date