Animal Research Ethics Application Form

1. Applicant Information

Name Position/Title Department/Institution Email Phone

2. Project Details

Project Title Project Summary Funding Source Proposed Start Date Proposed End Date

3. Animal Use Details

Species Number of Animals Description of Procedures Justification for Animal Use

4. Ethical Considerations

Alternatives Considered Animal Welfare Measures Euthanasia Methods (if applicable)

5. Declarations

All personnel have appropriate training (Yes/No) Yes No Project complies with relevant guidelines and regulations (Yes/No) Yes No Applicant Signature Date