Recombinant DNA

University of Rhode Island
Institutional Biosafety Committee
Recombinant DNA Protocol Review Form

REQUEST FOR APPROVAL FOR A FACULTY/STAFF PROJECT INVOLVING
  RECOMBINANT DNA

This form is to be used for reporting to the Institutional Biosafety Committee (IBC) by all individuals working with Recombinant DNA. Fill out and return to the Research Office, Division of Compliance, 70 Lower College Rd. For assistance call 874-4328.
email: cgregory@uri.edu

IBC Meeting Schedule
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Biosafety Protocol ID # (Internal use only)

Submitted by:

Date:

College:

Dept:

Tel:

E-mail:

Address:

Co-Investigator:

College:

Dept:

Tel:

Project Title:

Is project funded or being submitted for possible funding:  yes  no

Sponsoring Agency:

Amount requested:

URI Proposal Log No.:

Date submitted:   Funding Start Date:

Is this a collaboration with another institution? yes   no

1.  Facility (and room#) where work will be performed.

2. Names of workers who will perform the work, their position (student, staff, faculty) and departmental affiliation and the 

3. Objectives of the proposed research.

4. Detailed description of experimental procedures to be performed:

revised 8/02