ࡱ> =?<] bjbj:: 4(X*\X*\ j j <2&`F:[[[s&u&u&u&u&u&u&$T) ,&[[[[[&&[ s&[s&rg$TC%0/e:$_&&0&$z,`,C%,C%[[[[[[[&&[[[&[[[[,[[[[[[[[[j > : CALIFORNIA STATE UNIVERSITY LONG BEACH Office of University Research Animal Resources LAST NAME:______________________________ FIRST: _____________________ Principal Investigator: ___________________ Department: ________________ IACUC Project Number: __________________ Species: __________________ PARTICIPATION AGREEMENT I have received from the Animal Resources Facilities (ARF) Coordinator, reviewed, and understand the Animal Resources General Orientation information. I have received training from a member of the ARF staff and successfully completed the Animal Care and Use interactive training module located on the Office of University Research website ( HYPERLINK "http://www.csulb.edu/divisions/aa/research/compliance/" http://www.csulb.edu/divisions/aa/research/compliance/) I have received training from a member of the ARF staff and successfully completed the CNSM Safety Training Quiz. I have read and understand the IACUC protocol (provided by the Principal Investigator) listed above. I understand my responsibilities and obligations as an employee, student, volunteer and/or supervisor under the provisions of the standards and regulations of the Animal Welfare Act and ILAR Guide. ( HYPERLINK "http://awic.nal.usda.gov/government-and-professional-resources/federal-laws/animal-welfare-act" http://awic.nal.usda.gov/government-and-professional-resources/federal-laws/animal-welfare-act and  HYPERLINK "http://grants.nih.gov/grants/olaw/Guide-for-the-Care-and-use-of-laboratory-animals.pdf" http://grants.nih.gov/grants/olaw/Guide-for-the-Care-and-use-of-laboratory-animals.pdf) I agree to work at all times in complete accordance with all the ARF policies and procedures, and to protect the health and safety of the animals I work with and equally importantly, myself and those around me. I have been adequately trained to perform the tasks necessary, and if or when I need additional training, I agree to contact either the Principal Investigator, ARF Coordinator, or TV veterinarian for additional information and/or training. I will not direct others to work with live animals unless that individual has been adequately trained and has demonstrated adequate skill to perform the activity safely. When working with animals under the purview of TV I agree to abide by the policies, rules, and regulations of TV, the State of California, and United States Government. SIGNATURE: ___________________________________ DATE: ________________ REMEMBER: Individuals may not work on any IACUC approved protocol until a signed participation agreement with the protocol number and signature is filed with the ARF Coordinator and the above individuals name is listed on the approved IACUC protocol. Your training is not complete until you have taken and passed the quiz. The certificate of completion for this quiz must be returned to the ARF Coordinator. TRAINER SIGNATURE:____________________________________ TRAINING DATE:________ Modified 6/04/12 &'XYbczƴrcSC4rcShGkhYDCJOJQJaJhGkhYD5CJOJQJaJhGkh~#5CJOJQJaJhGkh~#CJOJQJaJhGkhDMCJOJQJaJhGkh?,@CJOJQJaJ"hGkhYD5CJOJQJ\aJ"hGkh~#5CJOJQJ\aJ"hGkhLD5CJOJQJ\aJ%hGkhC5>*CJOJQJ\aJ%hGkh]-5>*CJOJQJ\aJ%hGkh05>*CJOJQJ\aJ'FXY. / G H  P%st & FgdDM & Fgd4 & FgdUgd3b$a$gd/>gdOGAdhgdE $dha$gdC $dha$gd0  - . / F G H X ߒ߂r_M>/hGkh3bCJOJQJaJhGkh./CJOJQJaJ"hGkh/>5CJOJQJ\aJ%hGkh/>5>*CJOJQJ\aJhGkh./5CJOJQJaJhGkh'd5CJOJQJaJhGkh@O5CJOJQJaJhGkh~#CJOJQJaJhGkhDMCJOJQJaJhGkh?,@CJOJQJaJhGkh 5CJOJQJaJhGkh~#5CJOJQJaJhGkhDM5CJOJQJaJX     8 A I Z c j y    ӵӦ{l{[{LhGkhXCJOJQJaJ hykh40JCJOJQJaJh4h4CJOJQJaJh4CJOJQJaJjh4CJOJQJUaJhGkhYDCJOJQJaJhGkhT9CJOJQJaJhGkh*CJOJQJaJhGkh?CCJOJQJaJhGkh3bCJOJQJaJhGkh>LCCJOJQJaJhGkh CJOJQJaJ   , - 񵥵wdUdDdU hGkh?A0JCJOJQJaJhGkh?ACJOJQJaJ%jhGkh?ACJOJQJUaJhGkhUCJOJQJaJhGkh3b6CJOJQJaJhGkhjCJOJQJaJhGkh3b>*CJOJQJaJhGkh3bCJOJQJaJhGkh>LCCJOJQJaJhGkh@OCJOJQJaJhGkh0CJOJQJaJhGkh CJOJQJaJ MNOP!#$%bc ?C콮rccThGkhECJOJQJaJhGkhT9CJOJQJaJhGkh1CJOJQJaJhGkhLDCJOJQJaJhGkh?CCJOJQJaJhGkh3bCJOJQJaJhGkh CJOJQJaJhGkh?ACJOJQJaJ hGkhDM0JCJOJQJaJhGkhDMCJOJQJaJ%jhGkhDMCJOJQJUaJ Clw !5<@FSTghqrst}~ӵӵӦxxe%hGkh05>*CJOJQJ\aJhGkhYDCJOJQJaJhGkh3b5CJOJQJaJhGkh?CCJOJQJaJhGkhj-CJOJQJaJhGkhLDCJOJQJaJhGkh0CJOJQJaJhGkhECJOJQJaJhGkhT9CJOJQJaJhGkh3bCJOJQJaJ!WXY$a$gdDMgdU & FgdU^gdU & Fgd3b$a$gd.$a$gd3b XY   Ǹ}m}m}]mMhGkh./6CJOJQJaJhGkhU6CJOJQJaJhGkhGd6CJOJQJaJh 6CJOJQJaJhGkhDMCJOJQJaJhGkhGdCJOJQJaJhGkhnI5CJOJQJaJhGkh?,@CJOJQJaJ"hGkh.5CJOJQJ\aJ%hGkh t5>*CJOJQJ\aJ%hGkh3b5>*CJOJQJ\aJ21h:pDM/ =!"#$% s666666666vvvvvvvvv666666>6666666666666666666666666666666666666666666666666hH6666666666666666666666666666666666666666666666666666666666666666662 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@_HmH nH sH tH T`T 3bNormal1$7$8$H$ CJOJQJ_HaJmH sH tH DA D Default Paragraph FontRiR  Table Normal4 l4a (k (No List 6U`6 T9 Hyperlink >*B*phB' B B0Comment ReferenceCJaJ44 B0 Comment TextJ/!J B0Comment Text CharCJOJQJaJHjH B0Comment Subject5CJ\aJV/AV B0Comment Subject Char5CJOJQJ\aJHRH B0 Balloon TextCJOJQJ^JaJN/aN B0Balloon Text CharCJOJQJ^JaJPK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭VvnB`2ǃ,!"E3p#9GQd; H xuv 0F[,F᚜K sO'3w #vfSVbsؠyX p5veuw 1z@ l,i!b I jZ2|9L$Z15xl.(zm${d:\@'23œln$^-@^i?D&|#td!6lġB"&63yy@t!HjpU*yeXry3~{s:FXI O5Y[Y!}S˪.7bd|n]671. tn/w/+[t6}PsںsL. J;̊iN $AI)t2 Lmx:(}\-i*xQCJuWl'QyI@ھ m2DBAR4 w¢naQ`ԲɁ W=0#xBdT/.3-F>bYL%׭˓KK 6HhfPQ=h)GBms]_Ԡ'CZѨys v@c])h7Jهic?FS.NP$ e&\Ӏ+I "'%QÕ@c![paAV.9Hd<ӮHVX*%A{Yr Aբ pxSL9":3U5U NC(p%u@;[d`4)]t#9M4W=P5*f̰lk<_X-C wT%Ժ}B% Y,] A̠&oʰŨ; \lc`|,bUvPK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 0_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!R%theme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK]  (X C  ,M XXX8@0(  B S  ? bd  j l  3333z OCCLLh h X X Y Y     ~y&<M:j-dZ ^`OJQJo( 8^8`OJQJo(^`OJQJ^Jo(o  p^ `OJQJo(  @ ^ `OJQJo( x^x`OJQJo(H^H`OJQJ^Jo(o ^`OJQJo( ^`OJQJo(h ^`o(hH.h^`OJQJo(hHohp^p`OJQJo(hHh@ ^@ `OJQJo(hHh^`OJQJo(hHoh^`OJQJo(hHh^`OJQJo(hHh^`OJQJo(hHohP^P`OJQJo(hHh^`OJQJo(hHh^`OJQJo(hHohp^p`OJQJo(hHh@ ^@ `OJQJo(hHh^`OJQJo(hHoh^`OJQJo(hHh^`OJQJo(hHh^`OJQJo(hHohP^P`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohpp^p`OJQJo(hHh@ @ ^@ `OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohPP^P`OJQJo(hH-d<My&                           A@1OC/> E@O~#E&*j-`1A2J>??,@qA?AOGAWA?C>LCLDYDcGnI[JX'dGdd fGkftR\vU.e;eo(o@DM?o./CT9Jj+}0B3bE=9 ]- t4(T 3k   @ @Unknown G*Ax Times New Roman5Symbol3. *Cx Arial7Georgia71 Courier{ Lucida GrandeFranklin Gothic Medium Cond?= *Cx Courier New;WingdingsA$BCambria Math"h`rë''⺱FE E !24  3QKP ?3b2!xx PARTICIPATION AGREEMENTAcademic Affairs Evan Kennedy    Oh+'0 ,8 X d p |PARTICIPATION AGREEMENTAcademic Affairs Normal.dotmEvan Kennedy4Microsoft Office Word@F#@ ?@8KJ@B%/E ՜.+,D՜.+,H hp  TV  PARTICIPATION AGREEMENT Title 8@ _PID_HLINKSAl#Whttp://grants.nih.gov/grants/olaw/Guide-for-the-Care-and-use-of-laboratory-animals.pdf-j_http://awic.nal.usda.gov/government-and-professional-resources/federal-laws/animal-welfare-act2)7http://www.csulb.edu/divisions/aa/research/compliance/  !"#$%&'()*+-./012356789:;>Root Entry F/@1Table,WordDocument4(SummaryInformation(,DocumentSummaryInformation84CompObjr  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q