INLAND SCIENCE AND ENGINEERING FAIR
CERTIFICATION OF HUMANE TREATMENT OF
Name of Student
______________________________________________________
Project Title
__________________________________________________________
Any student research
involving animals MUST COMPLY with the requirements of the California
Education Code stated below and Regulation #5 of the Inland Science and
Engineering Fair.
HUMANE TREATMENT OF
ANIMALS, State of California
Education Code Title 2, Division 2, Part 28, Chapter 4, Article 5 (51540). In
the public elementary and high schools or in public elementary and high school
sponsored activities and classes held elsewhere than on school premises, live
vertebrate animals shall not, as part of a scientific experiment or any purpose
whatever:
(a)
Be experimentally
medicated or drugged in a manner to cause painful reactions or induce painful
or lethal pathological conditions.
(b)
Be injured through any
other treatments, including, but not limited to, anesthetization or electric
shock.
Live animals on the premises
of a public elementary or high school shall be housed and cared for in a humane
and safe manner. The provisions of this section are not intended to prohibit
or constrain vocational instruction in the normal practice of animal husbandry.
“Experiments involving any
procedures which are not in violation of the “painful reaction” or ‘injured”
restrictions of the California Education Code and are not in violation of
Inland Science and Engineering Fair Rule #5 are permitted if certified by a
qualified biomedical scientist prior to the beginning of the investigation. It
is permissible for the student and designated adult supervisor to consult with
a biomedical scientist to obtain detailed instructions and guidance in the
techniques to be used by the student under the direct continuous supervision of
the designated adult supervisor (for research not conducted
in the biomedical scientist’s lab). In this instance the designated adult
supervisor will be required to certify in writing jointly with the biomedical
scientist. Either the biomedical scientist or adult supervisor must provide
continuing supervision to assure compliance with the protocol. Major deviations
from the approved protocol may be implemented only with the written approval of
the biomedical scientist. The
biomedical scientist or designated adult supervisor must be in the same
locality as the student for the duration of the experimental work except for
short trips. This means that a project started in one city may not be continued
in another unless an alternate designated adult supervisor, approved by the
biomedical scientist prior to the continuation of the experimental work, agrees
to supervise the project. A biomedical scientist is defined as one who possesses
an earned doctoral degree in science or medicine and who has current working
knowledge of the techniques to be used in the research under consideration. A
designated adult supervisor is defined as an individual who has been properly
trained in the techniques and procedures to be used in the investigation. The
biomedical scientist must certify that the designated adult supervisor has been
so trained. For additional information see pages 78-80 in the “Science Safety
Handbook for California High Schools,”
Purpose
of Project:
____________________________________________________________________
Starting
Date: _________________________________________________________________________
Site
at which investigation will take place:
Name
_______________________________________________________
Address______________________________________________________ Page 1 of 4
Inland Science and
Engineering Fair
Certification of Humane
Treatment of Live Vertebrate Animals
Live vertebrate animals to be
used:
a)
Genus, species, and
common name ____________________________________________
b)
Number of animals
________________
c)
Animals obtained from
______________________________________________________
List objectives of the
experiment and describe fully the methods and techniques involved, When the use
of electrical current, laser beams, sound stimuli or other artificial stimuli
an integral part of the Research Plan, they must not exceed the normal tissue
tolerances for the species concerned (as indicated in the Biology Data
Handbook, 2nd Edition; editors, P.O. Altman and S.S. Dittmer: publisher,
Federation of American Societies for Experimental Biology).
Describe proposed methods of
animal care:
a)
Cage size
____________________________________
b)
Number of animals per
cage _________
c)
Temperature range
(maximum and minimum) degree Celsius of room where animals are to be kept
______________________________________________
d)
Frequency of feeding and
watering _____________________________________
e)
Frequency of cleaning
cage ___________________________________________
f)
Type of bedding to be
used _____________________________________________
g)
Where will animals be
housed? __________________________________________
h)
Where will animals be
returned when research is complete?
_________________________
___________________________________________________________________________
Name of animal care
supervisor
________________________________________________
Name of biomedical
scientist
__________________________________________________
Name of designated adult
supervisor _____________________________________________
Signature of student
________________________________________________________
Inland Science and
Engineering Fair
Certification of Humane
Treatment of Live Vertebrate Animals
This section must be completed for all vertebrate
animal projects.
See note at the bottom of page four, to determine if
page four is required.
CERTIFICATION BY
TEACHER/ADVISOR I agree to sponsor the student named above and assume
responsibility for compliance with the existing rules and regulations
pertaining to experiments with animals.
Signature
_______________________________________________________________________
Name (type or print)
_______________________________ Date ___________________________
Institution ________________________________________Title
____________________________
Institution
Address_________________________________ Phone ___________________________
Home Address
______________________________________
Home Phone
_______________________________________
CERTIFICATION BY AN ANIMAL
CARE SUPERVISOR of compliance with
California Education Code. (Must be completed prior to receipt of animals by
the student.)
I certify that I have
reviewed and approved the Research Plan and will supervise and accept primary
responsibility for the quality of care and handling of the live vertebrate
animals used by the designated student. I further certify that I am
knowledgeable in the proper care and handling of experimental animals and meet
prevailing animal supervisory requirements.
Signature
______________________________________________________________________
Name (type or print)
_________________________________________ Date ________________
Institution
_________________________________________ Title ___________________
Institution Address
________________________________________________________________
Telephone Number
_______________________________________________________________
Home Address
___________________________________________________________________
Home Telephone Number
___________________________________________________________
Source of My
Authority/Expertise____________________________________________________
Inland Science and
Engineering Fair
Certification of Humane Treatment
of Live Vertebrate Animals
Page Four - See note below
to determine if this page is required.
CERTIFICATION BY BIOMEDICAL
SCIENTIST (if required) of compliance with California Education Code and Rule
#5 of the General Regulations for the Inland Science and Engineering Fair (Must
be completed prior to the start of the project.)
I certify that I have read the General Regulations for the Inland Science and Engineering Fair; that I have reviewed and approved the Research Plan; that if the student or designated adult supervisor is not trained in the necessary procedures, I will ensure his/her training; that I will assure that the requirements of the California Education Code are fully met; that I will provide advice and supervision personally or through a designated adult supervisor throughout the project; and that I am a qualified scientist with an earned doctoral degree (Ph.D., M.D., D.V.M.) and a working knowledge of the techniques to be used by the students in this research.
Signature
_________________________________________________________________________
Name
(type or print) _________________________________________ Date__________________
Institution________________________________________
Title_______________________________
Institution Address ____________________________________________________________________
Telephone Number
____________________________________________________________________
Home
Address _______________________________________________________________________
Home
Telephone Number________________________________________________
Source
of My Authority/Expertise
________________________________________________________
CERTIFICATION
BY DESIGNATED ADULT SUPERVISOR (if required)
I certify that I have been trained in the techniques to be used by this student; that I have read the General Regulations for the Inland Science and Engineering Fair; and that I will provide direct supervision for the research.
Signature
_________________________________________________________________________
Name
(type or print)________________________________ Date __________________________
Institution_________________________________________
Title __________________________
Institution
Address ____________________________________________________________________
Telephone
Number ____________________________________________________________________
Home
Address
_______________________________________________________________________
Home
Telephone Number_______________________________________
Source
of My Authority/Expertise
________________________________________________________
Note: This form, properly completed, must be part of the carefully planned procedures for experimentation with live vertebrate animals or animal parts. It must accompany any such project exhibited at, or when presented for any public display associated with, the Inland Science and Engineering Fair. All sections must be completed except the “Certification by Biomedical Scientist” and the Certification of Designated Adult Supervisor” which need be completed only by those students carrying on experiments in a research or clinical facility or where the use of anesthetics, drugs, or euthanasia becomes necessary.
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