{"id":72,"date":"2018-02-03T12:14:16","date_gmt":"2018-02-03T17:14:16","guid":{"rendered":"http:\/\/pages.vassar.edu\/institutionalbiosafety\/?page_id=72"},"modified":"2018-02-03T12:14:16","modified_gmt":"2018-02-03T17:14:16","slug":"recombinant-dna-registration-form","status":"publish","type":"page","link":"https:\/\/pages.vassar.edu\/institutionalbiosafety\/recombinant-dna-registration-form\/","title":{"rendered":"Recombinant DNA Registration Form"},"content":{"rendered":"<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof 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data-form-theme='legacy' data-form-index='0' id='gform_wrapper_4' >\n                        <div class='gform_heading'>\n                            <h3 class=\"gform_title\">Recombinant DNA Registration Form<\/h3>\n                            <p class='gform_description'>This form is for typical cloning and gene expression work performed in commonly used vectors and organisms, such as E.coli.\r\n\r\nRecombinant DNA is defined as either a) DNA constructed in vitro from separate DNA segments that can replicate and\/or express a biologically active polynucleotide or polypeptide in vivo, or b) synthetic DNA that has the potential of generating a hazardous product in vivo.<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_4'  action='\/institutionalbiosafety\/wp-json\/wp\/v2\/pages\/72' data-formid='4' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_4' class='gform_fields top_label form_sublabel_below description_above validation_below'><li id=\"field_4_4\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">General Information<\/h2><\/li><li id=\"field_4_3\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_3'>Principal Investigator:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_4_3' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_7\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_7'>Department:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_4_7' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_132\" class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_4_132_container'>\n                                <span id='input_4_132_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_132' id='input_4_132' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_4_132' class='gform-field-label gform-field-label--type-sub '>Enter Email<\/label>\n                                <\/span>\n                                <span id='input_4_132_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_132_2' id='input_4_132_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_4_132_2' class='gform-field-label gform-field-label--type-sub '>Confirm Email<\/label>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/li><li id=\"field_4_9\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_9'>Phone number:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_9' id='input_4_9' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_12\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_12'>Project title:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_12' id='input_4_12' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_23\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_23'>Location where rDNA research will be conducted (building name and room number):<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_23' id='input_4_23' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_15\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >This experiment will involve the following recombinant DNA methods (choose all that apply):<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_4_15'><li class='gchoice gchoice_4_15_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.1' type='checkbox'  value='Cloning of DNA encoding toxin molecules lethal to vertebrates at an LD50 of less than 100ng\/kg'  id='choice_4_15_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_15_1' id='label_4_15_1' class='gform-field-label gform-field-label--type-inline'>Cloning of DNA encoding toxin molecules lethal to vertebrates at an LD50 of less than 100ng\/kg<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_15_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.2' type='checkbox'  value='Human subjects (including human gene therapy)'  id='choice_4_15_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_15_2' id='label_4_15_2' class='gform-field-label gform-field-label--type-inline'>Human subjects (including human gene therapy)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_15_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.3' type='checkbox'  value='Transfer of drug resistance to an organism not know to naturally acquire that trait, if such an acquisition could compromise ability to control the disease in humans, veterinary medicine, or agriculture'  id='choice_4_15_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_15_3' id='label_4_15_3' class='gform-field-label gform-field-label--type-inline'>Transfer of drug resistance to an organism not know to naturally acquire that trait, if such an acquisition could compromise ability to control the disease in humans, veterinary medicine, or agriculture<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_15_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.4' type='checkbox'  value='RG 2 agents as host-vector systems'  id='choice_4_15_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_15_4' id='label_4_15_4' class='gform-field-label gform-field-label--type-inline'>RG 2 agents as host-vector systems<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_15_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.5' type='checkbox'  value='Cloning of DNA from RG 2 microorganisms into nonpathogenic prokaryotic or lower eukaryotic host-vector systems'  id='choice_4_15_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_15_5' id='label_4_15_5' class='gform-field-label gform-field-label--type-inline'>Cloning of DNA from RG 2 microorganisms into nonpathogenic prokaryotic or lower eukaryotic host-vector systems<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_15_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.6' type='checkbox'  value='Use of infectious DNA or RNA viruses or defective DNA or RNA viruses in the presence of helper virus tissue culture systems'  id='choice_4_15_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_15_6' id='label_4_15_6' class='gform-field-label gform-field-label--type-inline'>Use of infectious DNA or RNA viruses or defective DNA or RNA viruses in the presence of helper virus tissue culture systems<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_15_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.7' type='checkbox'  value='Use of transgenic animals at RG 2 or above'  id='choice_4_15_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_15_7' id='label_4_15_7' class='gform-field-label gform-field-label--type-inline'>Use of transgenic animals at RG 2 or above<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_15_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.8' type='checkbox'  value='Use of viable rDNA modified microorganisms involving whole animals or whole plants'  id='choice_4_15_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_15_8' id='label_4_15_8' class='gform-field-label gform-field-label--type-inline'>Use of viable rDNA modified microorganisms involving whole animals or whole plants<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_15_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.9' type='checkbox'  value='Administration of rDNA to animals or plants'  id='choice_4_15_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_15_9' id='label_4_15_9' class='gform-field-label gform-field-label--type-inline'>Administration of rDNA to animals or plants<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_15_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.11' type='checkbox'  value='More than 10L of culture'  id='choice_4_15_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_15_11' id='label_4_15_11' class='gform-field-label gform-field-label--type-inline'>More than 10L of culture<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_15_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.12' type='checkbox'  value='1-10L of culture'  id='choice_4_15_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_15_12' id='label_4_15_12' class='gform-field-label gform-field-label--type-inline'>1-10L of culture<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_15_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.13' type='checkbox'  value='Less than 1L of culture'  id='choice_4_15_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_15_13' id='label_4_15_13' class='gform-field-label gform-field-label--type-inline'>Less than 1L of culture<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_15_14'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.14' type='checkbox'  value='Propagation and maintenance of tissue culture of rDNA containing less than 2\/3 of the genome of any eukaryotic virus in the demonstrable absence of helper virus or a virus that has been show to be non-replicating'  id='choice_4_15_14'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_15_14' id='label_4_15_14' class='gform-field-label gform-field-label--type-inline'>Propagation and maintenance of tissue culture of rDNA containing less than 2\/3 of the genome of any eukaryotic virus in the demonstrable absence of helper virus or a virus that has been show to be non-replicating<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_15_15'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.15' type='checkbox'  value='Propagation and maintenance in tissue culture of rDNA containing a virus that has been shown to be non-replicating'  id='choice_4_15_15'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_15_15' id='label_4_15_15' class='gform-field-label gform-field-label--type-inline'>Propagation and maintenance in tissue culture of rDNA containing a virus that has been shown to be non-replicating<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_15_16'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.16' type='checkbox'  value='Formation of rDNA containing no more than 2\/3 of the genome of any eukaryotic virus'  id='choice_4_15_16'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_15_16' id='label_4_15_16' class='gform-field-label gform-field-label--type-inline'>Formation of rDNA containing no more than 2\/3 of the genome of any eukaryotic virus<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_15_17'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.17' type='checkbox'  value='Use of transgenic animals at RG 1'  id='choice_4_15_17'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_15_17' id='label_4_15_17' class='gform-field-label gform-field-label--type-inline'>Use of transgenic animals at RG 1<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_15_18'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.18' type='checkbox'  value='rDNA not in an organism or virus'  id='choice_4_15_18'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_15_18' id='label_4_15_18' class='gform-field-label gform-field-label--type-inline'>rDNA not in an organism or virus<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_15_19'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.19' type='checkbox'  value='DNA segments from a single non-chromosomal or virual DNA source'  id='choice_4_15_19'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_15_19' id='label_4_15_19' class='gform-field-label gform-field-label--type-inline'>DNA segments from a single non-chromosomal or virual DNA source<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_15_21'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.21' type='checkbox'  value='DNA entirely from a prokaryotic host when propagated only in that host'  id='choice_4_15_21'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_15_21' id='label_4_15_21' class='gform-field-label gform-field-label--type-inline'>DNA entirely from a prokaryotic host when propagated only in that host<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_15_22'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.22' type='checkbox'  value='DNA entirely from a prokaryotic host when transferred to another host by well-established physiological means'  id='choice_4_15_22'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_15_22' id='label_4_15_22' class='gform-field-label gform-field-label--type-inline'>DNA entirely from a prokaryotic host when transferred to another host by well-established physiological means<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_15_23'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.23' type='checkbox'  value='DNA from a eukaryotic host when propataged only in that host or closely related strain of the same species'  id='choice_4_15_23'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_15_23' id='label_4_15_23' class='gform-field-label gform-field-label--type-inline'>DNA from a eukaryotic host when propataged only in that host or closely related strain of the same species<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_15_24'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.24' type='checkbox'  value='DNA segments from different species that exchange DNA by known physiological processes'  id='choice_4_15_24'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_15_24' id='label_4_15_24' class='gform-field-label gform-field-label--type-inline'>DNA segments from different species that exchange DNA by known physiological processes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_15_25'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.25' type='checkbox'  value='Use of a helper virus'  id='choice_4_15_25'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_15_25' id='label_4_15_25' class='gform-field-label gform-field-label--type-inline'>Use of a helper virus<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_134\" class=\"gfield gfield--type-list field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Specify the genus, species, gene name, and gene product (if it is to be expressed) of the DNA source. More than one can be listed:<\/label><style type=\"text\/css\">\n\n\t\t\t\t\t\tbody .ginput_container_list table.gfield_list tbody tr td.gfield_list_icons {\n\t\t\t\t\t\t\tvertical-align: middle !important;\n\t\t\t\t\t\t}\n\n\t\t\t\t\t\tbody .ginput_container_list table.gfield_list tbody tr td.gfield_list_icons img {\n\t\t\t\t\t\t\tbackground-color: transparent !important;\n\t\t\t\t\t\t\tbackground-position: 0 0;\n\t\t\t\t\t\t\tbackground-size: 16px 16px !important;\n\t\t\t\t\t\t\tbackground-repeat: no-repeat;\n\t\t\t\t\t\t\tborder: none !important;\n\t\t\t\t\t\t\twidth: 16px !important;\n\t\t\t\t\t\t\theight: 16px !important;\n\t\t\t\t\t\t\topacity: 0.5;\n\t\t\t\t\t\t\ttransition: opacity .5s ease-out;\n\t\t\t\t\t\t    -moz-transition: opacity .5s ease-out;\n\t\t\t\t\t\t    -webkit-transition: opacity .5s ease-out;\n\t\t\t\t\t\t    -o-transition: opacity .5s ease-out;\n\t\t\t\t\t\t}\n\n\t\t\t\t\t\tbody .ginput_container_list table.gfield_list tbody tr td.gfield_list_icons a:hover img {\n\t\t\t\t\t\t\topacity: 1.0;\n\t\t\t\t\t\t}\n\n\t\t\t\t\t\t<\/style><div class='ginput_container ginput_container_list ginput_list'><table class='gfield_list gfield_list_container'><colgroup><col id='gfield_list_134_col1' class='gfield_list_col_odd' \/><col id='gfield_list_134_col2' class='gfield_list_col_even' \/><\/colgroup><tbody><tr class='gfield_list_row_odd gfield_list_group'><td class='gfield_list_cell gfield_list_134_cell1' ><input aria-invalid='false'   aria-label='Specify the genus, species, gene name, and gene product (if it is to be expressed) of the DNA source. More than one can be listed:, Row 1' data-aria-label-template='Specify the genus, species, gene name, and gene product (if it is to be expressed) of the DNA source. More than one can be listed:, Row {0}' type='text' name='input_134[]' value=''   \/><\/td><td class='gfield_list_icons'>   <a href='javascript:void(0);' class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)' onkeypress='gformAddListItem(this, 0)'><img src='https:\/\/pages.vassar.edu\/institutionalbiosafety\/wp-content\/plugins\/gravityforms\/images\/list-add.svg' alt='' title='Add a new row' \/><\/a>   <a href='javascript:void(0);' class='delete_list_item' aria-label='Remove this row' onclick='gformDeleteListItem(this, 0)' onkeypress='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\"><img src='https:\/\/pages.vassar.edu\/institutionalbiosafety\/wp-content\/plugins\/gravityforms\/images\/list-remove.svg' alt='' title='Remove this row' \/><\/a><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_4_135\" class=\"gfield gfield--type-list gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Name or description of the vector (plasmid, virus, or phage) used for constructing your recombinants:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_list ginput_list'><table class='gfield_list gfield_list_container'><colgroup><col id='gfield_list_135_col1' class='gfield_list_col_odd' \/><col id='gfield_list_135_col2' class='gfield_list_col_even' \/><\/colgroup><tbody><tr class='gfield_list_row_odd gfield_list_group'><td class='gfield_list_cell gfield_list_135_cell1' ><input aria-invalid='false' aria-required=\"true\"  aria-label='Name or description of the vector (plasmid, virus, or phage) used for constructing your recombinants:, Row 1' data-aria-label-template='Name or description of the vector (plasmid, virus, or phage) used for constructing your recombinants:, Row {0}' type='text' name='input_135[]' value=''   \/><\/td><td class='gfield_list_icons'>   <a href='javascript:void(0);' class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)' onkeypress='gformAddListItem(this, 0)'><img src='https:\/\/pages.vassar.edu\/institutionalbiosafety\/wp-content\/plugins\/gravityforms\/images\/list-add.svg' alt='' title='Add a new row' \/><\/a>   <a href='javascript:void(0);' class='delete_list_item' aria-label='Remove this row' onclick='gformDeleteListItem(this, 0)' onkeypress='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\"><img src='https:\/\/pages.vassar.edu\/institutionalbiosafety\/wp-content\/plugins\/gravityforms\/images\/list-remove.svg' alt='' title='Remove this row' \/><\/a><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_4_136\" class=\"gfield gfield--type-list gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Genus, species and strain of host cell(s) or packaging cell line in which recombinant vector will be amplified.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_4_136'>E. coli strains derived from K12 are exempt from IBC approval but must still be registered. DH5a, TOP10 are commonly used K12 derivates. Strain BL21 is not exempt. For more strain information, see \"What Must be Registered\" and \"Risk Groups\" for more information. <\/div><div class='ginput_container ginput_container_list ginput_list'><table class='gfield_list gfield_list_container'><colgroup><col id='gfield_list_136_col1' class='gfield_list_col_odd' \/><col id='gfield_list_136_col2' class='gfield_list_col_even' \/><\/colgroup><tbody><tr class='gfield_list_row_odd gfield_list_group'><td class='gfield_list_cell gfield_list_136_cell1' ><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_4_136\" aria-label='Genus, species and strain of host cell(s) or packaging cell line in which recombinant vector will be amplified., Row 1' data-aria-label-template='Genus, species and strain of host cell(s) or packaging cell line in which recombinant vector will be amplified., Row {0}' type='text' name='input_136[]' value=''   \/><\/td><td class='gfield_list_icons'>   <a href='javascript:void(0);' class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)' onkeypress='gformAddListItem(this, 0)'><img src='https:\/\/pages.vassar.edu\/institutionalbiosafety\/wp-content\/plugins\/gravityforms\/images\/list-add.svg' alt='' title='Add a new row' \/><\/a>   <a href='javascript:void(0);' class='delete_list_item' aria-label='Remove this row' onclick='gformDeleteListItem(this, 0)' onkeypress='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\"><img src='https:\/\/pages.vassar.edu\/institutionalbiosafety\/wp-content\/plugins\/gravityforms\/images\/list-remove.svg' alt='' title='Remove this row' \/><\/a><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_4_129\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Will the inserted gene(s) be expressed?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_4_129'><li class='gchoice gchoice_4_129_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_129.1' type='checkbox'  value='Yes'  id='choice_4_129_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_129_1' id='label_4_129_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_129_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_129.2' type='checkbox'  value='No'  id='choice_4_129_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_129_2' id='label_4_129_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_130\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Does the donor rDNA, RNA, or cDNA source, the expressed product, or the vector have any recognized or anticipated pathogenic, toxigenic, or viral potential for animals, plants, or humans?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_4_130'>\n\t\t\t<li class='gchoice gchoice_4_130_0'>\n\t\t\t\t<input name='input_130' type='radio' value='Yes'  id='choice_4_130_0'    \/>\n\t\t\t\t<label for='choice_4_130_0' id='label_4_130_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_130_1'>\n\t\t\t\t<input name='input_130' type='radio' value='No'  id='choice_4_130_1'    \/>\n\t\t\t\t<label for='choice_4_130_1' id='label_4_130_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_131\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_131'>If yes, please specify:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_131' id='input_4_131' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_4_34\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Are any viral components or sequences present?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_4_34'>\n\t\t\t<li class='gchoice gchoice_4_34_0'>\n\t\t\t\t<input name='input_34' type='radio' value='Yes'  id='choice_4_34_0'    \/>\n\t\t\t\t<label for='choice_4_34_0' id='label_4_34_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_34_1'>\n\t\t\t\t<input name='input_34' type='radio' value='No'  id='choice_4_34_1'    \/>\n\t\t\t\t<label for='choice_4_34_1' id='label_4_34_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_35\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_35'>If yes, specify the nature of the viral components:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_35' id='input_4_35' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_4_40\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_40'>What cells, tissues, animals, humans, insects, or plants will be exposed to the recombinant?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_40' id='input_4_40' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_4_41\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Will you work with transgenic animals?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_4_41'>\n\t\t\t<li class='gchoice gchoice_4_41_0'>\n\t\t\t\t<input name='input_41' type='radio' value='Yes'  id='choice_4_41_0'    \/>\n\t\t\t\t<label for='choice_4_41_0' id='label_4_41_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_41_1'>\n\t\t\t\t<input name='input_41' type='radio' value='No'  id='choice_4_41_1'    \/>\n\t\t\t\t<label for='choice_4_41_1' id='label_4_41_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_43\" class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_43'>Please provide a BRIEF description of proposed research<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_43' id='input_4_43' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_4_89\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Safety Measures<\/h2><\/li><li id=\"field_4_90\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Indicate any engineering controls used to prevent potential contamination:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_4_90'><li class='gchoice gchoice_4_90_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_90.1' type='checkbox'  value='Containment suite (e.g. RG 2)'  id='choice_4_90_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_90_1' id='label_4_90_1' class='gform-field-label gform-field-label--type-inline'>Containment suite (e.g. RG 2)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_90_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_90.2' type='checkbox'  value='Biocontainment animal housing (if applicable)'  id='choice_4_90_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_90_2' id='label_4_90_2' class='gform-field-label gform-field-label--type-inline'>Biocontainment animal housing (if applicable)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_90_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_90.3' type='checkbox'  value='Class II biological safety cabinet'  id='choice_4_90_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_90_3' id='label_4_90_3' class='gform-field-label gform-field-label--type-inline'>Class II biological safety cabinet<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_90_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_90.4' type='checkbox'  value='Centrifuge safety cups'  id='choice_4_90_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_90_4' id='label_4_90_4' class='gform-field-label gform-field-label--type-inline'>Centrifuge safety cups<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_90_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_90.5' type='checkbox'  value='Other'  id='choice_4_90_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_90_5' id='label_4_90_5' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_91\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_91'>If other, please specify:<\/label><div class='ginput_container ginput_container_text'><input name='input_91' id='input_4_91' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_92\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Will syringes, scalpels, glass, or other sharps be used?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_4_92'>Sharps used at RG 2 should be minimized. If sharps are used, review your protocol to minimize use of sharps and use devices with integrated safety features where possible.<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_4_92'>\n\t\t\t<li class='gchoice gchoice_4_92_0'>\n\t\t\t\t<input name='input_92' type='radio' value='Yes'  id='choice_4_92_0'    \/>\n\t\t\t\t<label for='choice_4_92_0' id='label_4_92_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_92_1'>\n\t\t\t\t<input name='input_92' type='radio' value='No'  id='choice_4_92_1'    \/>\n\t\t\t\t<label for='choice_4_92_1' id='label_4_92_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_96\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Indicate any Personal Protective Equipment (PPE) that will be required for your work:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_4_96'><li class='gchoice gchoice_4_96_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_96.1' type='checkbox'  value='Lab coat'  id='choice_4_96_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_96_1' id='label_4_96_1' class='gform-field-label gform-field-label--type-inline'>Lab coat<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_96_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_96.2' type='checkbox'  value='Safety glasses'  id='choice_4_96_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_96_2' id='label_4_96_2' class='gform-field-label gform-field-label--type-inline'>Safety glasses<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_96_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_96.3' type='checkbox'  value='Apron or rear-fastening gown'  id='choice_4_96_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_96_3' id='label_4_96_3' class='gform-field-label gform-field-label--type-inline'>Apron or rear-fastening gown<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_96_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_96.4' type='checkbox'  value='Bonnet or other hair cover'  id='choice_4_96_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_96_4' id='label_4_96_4' class='gform-field-label gform-field-label--type-inline'>Bonnet or other hair cover<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_96_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_96.5' type='checkbox'  value='Gloves'  id='choice_4_96_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_96_5' id='label_4_96_5' class='gform-field-label gform-field-label--type-inline'>Gloves<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_98\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >For spill clean up, please indicate disinfectant methods.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_4_98'><li class='gchoice gchoice_4_98_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_98.1' type='checkbox'  value='Autoclave'  id='choice_4_98_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_98_1' id='label_4_98_1' class='gform-field-label gform-field-label--type-inline'>Autoclave<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_98_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_98.2' type='checkbox'  value='1\/10 bleach solution'  id='choice_4_98_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_98_2' id='label_4_98_2' class='gform-field-label gform-field-label--type-inline'>1\/10 bleach solution<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_98_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_98.3' type='checkbox'  value='Poviodone or iodine product'  id='choice_4_98_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_98_3' id='label_4_98_3' class='gform-field-label gform-field-label--type-inline'>Poviodone or iodine product<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_98_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_98.4' type='checkbox'  value='70 percent ethanol'  id='choice_4_98_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_98_4' id='label_4_98_4' class='gform-field-label gform-field-label--type-inline'>70 percent ethanol<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_98_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_98.5' type='checkbox'  value='Phenolic product'  id='choice_4_98_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_98_5' id='label_4_98_5' class='gform-field-label gform-field-label--type-inline'>Phenolic product<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_98_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_98.6' type='checkbox'  value='Cholorine dioxide product'  id='choice_4_98_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_98_6' id='label_4_98_6' class='gform-field-label gform-field-label--type-inline'>Cholorine dioxide product<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_98_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_98.7' type='checkbox'  value='Quaternary ammonium product'  id='choice_4_98_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_98_7' id='label_4_98_7' class='gform-field-label gform-field-label--type-inline'>Quaternary ammonium product<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_98_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_98.8' type='checkbox'  value='Other'  id='choice_4_98_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_98_8' id='label_4_98_8' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_99\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_99'>If other, please specify<\/label><div class='ginput_container ginput_container_text'><input name='input_99' id='input_4_99' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_100\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Solid waste cleanup<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_4_100'><li class='gchoice gchoice_4_100_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_100.1' type='checkbox'  value='Autoclave'  id='choice_4_100_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_100_1' id='label_4_100_1' class='gform-field-label gform-field-label--type-inline'>Autoclave<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_100_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_100.2' type='checkbox'  value='1\/10 bleach solution'  id='choice_4_100_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_100_2' id='label_4_100_2' class='gform-field-label gform-field-label--type-inline'>1\/10 bleach solution<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_100_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_100.3' type='checkbox'  value='Poviodone or iodine product'  id='choice_4_100_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_100_3' id='label_4_100_3' class='gform-field-label gform-field-label--type-inline'>Poviodone or iodine product<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_100_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_100.4' type='checkbox'  value='70 percent ethanol'  id='choice_4_100_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_100_4' id='label_4_100_4' class='gform-field-label gform-field-label--type-inline'>70 percent ethanol<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_100_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_100.5' type='checkbox'  value='Phenolic product'  id='choice_4_100_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_100_5' id='label_4_100_5' class='gform-field-label gform-field-label--type-inline'>Phenolic product<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_100_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_100.6' type='checkbox'  value='Cholorine dioxide product'  id='choice_4_100_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_100_6' id='label_4_100_6' class='gform-field-label gform-field-label--type-inline'>Cholorine dioxide product<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_100_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_100.7' type='checkbox'  value='Quaternary ammonium product'  id='choice_4_100_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_100_7' id='label_4_100_7' class='gform-field-label gform-field-label--type-inline'>Quaternary ammonium product<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_100_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_100.8' type='checkbox'  value='Other'  id='choice_4_100_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_100_8' id='label_4_100_8' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_101\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_101'>If other, please specify<\/label><div class='ginput_container ginput_container_text'><input name='input_101' id='input_4_101' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_102\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Liquid waste cleanup<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_4_102'><li class='gchoice gchoice_4_102_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_102.1' type='checkbox'  value='Autoclave'  id='choice_4_102_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_102_1' id='label_4_102_1' class='gform-field-label gform-field-label--type-inline'>Autoclave<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_102_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_102.2' type='checkbox'  value='1\/10 bleach solution'  id='choice_4_102_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_102_2' id='label_4_102_2' class='gform-field-label gform-field-label--type-inline'>1\/10 bleach solution<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_102_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_102.3' type='checkbox'  value='Poviodone or iodine product'  id='choice_4_102_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_102_3' id='label_4_102_3' class='gform-field-label gform-field-label--type-inline'>Poviodone or iodine product<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_102_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_102.4' type='checkbox'  value='70 percent ethanol'  id='choice_4_102_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_102_4' id='label_4_102_4' class='gform-field-label gform-field-label--type-inline'>70 percent ethanol<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_102_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_102.5' type='checkbox'  value='Phenolic product'  id='choice_4_102_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_102_5' id='label_4_102_5' class='gform-field-label gform-field-label--type-inline'>Phenolic product<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_102_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_102.6' type='checkbox'  value='Cholorine dioxide product'  id='choice_4_102_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_102_6' id='label_4_102_6' class='gform-field-label gform-field-label--type-inline'>Cholorine dioxide product<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_102_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_102.7' type='checkbox'  value='Quaternary ammonium product'  id='choice_4_102_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_102_7' id='label_4_102_7' class='gform-field-label gform-field-label--type-inline'>Quaternary ammonium product<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_102_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_102.8' type='checkbox'  value='Other'  id='choice_4_102_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_102_8' id='label_4_102_8' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_103\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_103'>If other, please specify<\/label><div class='ginput_container ginput_container_text'><input name='input_103' id='input_4_103' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_104\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Animal waste cleanup<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_4_104'><li class='gchoice gchoice_4_104_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_104.1' type='checkbox'  value='Autoclave'  id='choice_4_104_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_104_1' id='label_4_104_1' class='gform-field-label gform-field-label--type-inline'>Autoclave<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_104_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_104.2' type='checkbox'  value='1\/10 bleach solution'  id='choice_4_104_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_104_2' id='label_4_104_2' class='gform-field-label gform-field-label--type-inline'>1\/10 bleach solution<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_104_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_104.3' type='checkbox'  value='Poviodone or iodine product'  id='choice_4_104_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_104_3' id='label_4_104_3' class='gform-field-label gform-field-label--type-inline'>Poviodone or iodine product<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_104_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_104.4' type='checkbox'  value='70 percent ethanol'  id='choice_4_104_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_104_4' id='label_4_104_4' class='gform-field-label gform-field-label--type-inline'>70 percent ethanol<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_104_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_104.5' type='checkbox'  value='Phenolic product'  id='choice_4_104_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_104_5' id='label_4_104_5' class='gform-field-label gform-field-label--type-inline'>Phenolic product<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_104_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_104.6' type='checkbox'  value='Cholorine dioxide product'  id='choice_4_104_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_104_6' id='label_4_104_6' class='gform-field-label gform-field-label--type-inline'>Cholorine dioxide product<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_104_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_104.7' type='checkbox'  value='Quaternary ammonium product'  id='choice_4_104_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_104_7' id='label_4_104_7' class='gform-field-label gform-field-label--type-inline'>Quaternary ammonium product<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_104_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_104.8' type='checkbox'  value='Other'  id='choice_4_104_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_104_8' id='label_4_104_8' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_104_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_104.9' type='checkbox'  value='not applicable'  id='choice_4_104_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_104_9' id='label_4_104_9' class='gform-field-label gform-field-label--type-inline'>not applicable<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_105\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_105'>If other, please specify<\/label><div class='ginput_container ginput_container_text'><input name='input_105' id='input_4_105' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_138\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Principle Investigator&#039;s assessment of IBC approval category<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_4_138'>Your estimation of what category your work falls under. (See \"What Must Be Registered\"). The IBC or IBC Chair will review the registration and confirm your risk category.<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_4_138'>\n\t\t\t<li class='gchoice gchoice_4_138_0'>\n\t\t\t\t<input name='input_138' type='radio' value='Exempt from IBC approval: Low risk rDNA work using exempt E. coli strain k12 or derivative'  id='choice_4_138_0'    \/>\n\t\t\t\t<label for='choice_4_138_0' id='label_4_138_0' class='gform-field-label gform-field-label--type-inline'>Exempt from IBC approval: Low risk rDNA work using exempt E. coli strain k12 or derivative<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_138_1'>\n\t\t\t\t<input name='input_138' type='radio' value='Notify IBC prior to initiation, no need to wait for approval: Low risk rDNA work using RG1 microorganism'  id='choice_4_138_1'    \/>\n\t\t\t\t<label for='choice_4_138_1' id='label_4_138_1' class='gform-field-label gform-field-label--type-inline'>Notify IBC prior to initiation, no need to wait for approval: Low risk rDNA work using RG1 microorganism<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_138_2'>\n\t\t\t\t<input name='input_138' type='radio' value='Wait for IBC approval before initiating experiment: Higher risk rDNA or uses RG2 agent'  id='choice_4_138_2'    \/>\n\t\t\t\t<label for='choice_4_138_2' id='label_4_138_2' class='gform-field-label gform-field-label--type-inline'>Wait for IBC approval before initiating experiment: Higher risk rDNA or uses RG2 agent<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_137\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_137'>Additional Comments:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_137' id='input_4_137' class='textarea medium'      aria-invalid=\"false\"   rows='10' 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