{"id":74,"date":"2018-02-03T12:14:32","date_gmt":"2018-02-03T17:14:32","guid":{"rendered":"http:\/\/pages.vassar.edu\/institutionalbiosafety\/?page_id=74"},"modified":"2018-02-03T12:14:32","modified_gmt":"2018-02-03T17:14:32","slug":"viral-vectors-registration-form","status":"publish","type":"page","link":"https:\/\/pages.vassar.edu\/institutionalbiosafety\/viral-vectors-registration-form\/","title":{"rendered":"Viral Vectors 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 InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_6' >\n                        <div class='gform_heading'>\n                            <h3 class=\"gform_title\">Viral Vectors Registration Form<\/h3>\n                            <p class='gform_description'>All work with viral vectors must be registered and receive approval from the IBC prior to initiation of experiments.  Additional approval may be necessary from IACUC for experiments involving animals<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_6'  action='\/institutionalbiosafety\/wp-json\/wp\/v2\/pages\/74' data-formid='6' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_6' class='gform_fields top_label form_sublabel_below description_above validation_below'><li id=\"field_6_4\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">General Information<\/h2><div class='gsection_description' id='gfield_description_6_4'>There is a link to Save and Continue Later at the end of the form. Even if you complete the form, please save your entry so that edits can be made more easily if needed. <\/div><\/li><li id=\"field_6_3\" 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_6_3'>Principal Investigator:<\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_6_3' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_7\" 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_6_7'>Department:<\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_6_7' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_9\" 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_6_9'>Phone number:<\/label><div class='ginput_container ginput_container_text'><input name='input_9' id='input_6_9' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_132\" class=\"gfield gfield--type-email field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_132'>Email<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_132' id='input_6_132' type='email' value='' class='medium'     aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_6_12\" 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_6_12'>Project title:<\/label><div class='ginput_container ginput_container_text'><input name='input_12' id='input_6_12' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_11\" 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_6_11'>Locations where experiments will be performed (building and room number)<\/label><div class='ginput_container ginput_container_text'><input name='input_11' id='input_6_11' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_130\" 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_6_130'>Locations where rDNA or viral vectors will be stored (building and room number)<\/label><div class='ginput_container ginput_container_text'><input name='input_130' id='input_6_130' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_14\" 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\">Recombinant DNA<\/h2><\/li><li id=\"field_6_15\" class=\"gfield gfield--type-checkbox gfield--type-choice 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):<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_6_15'><li class='gchoice gchoice_6_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_6_15_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_15_1' id='label_6_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_6_15_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.2' type='checkbox'  value='Human gene therapy or human subjects'  id='choice_6_15_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_15_2' id='label_6_15_2' class='gform-field-label gform-field-label--type-inline'>Human gene therapy or human subjects<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_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_6_15_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_15_3' id='label_6_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_6_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_6_15_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_15_4' id='label_6_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_6_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_6_15_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_15_5' id='label_6_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_6_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_6_15_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_15_6' id='label_6_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_6_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_6_15_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_15_7' id='label_6_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_6_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_6_15_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_15_8' id='label_6_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_6_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_6_15_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_15_9' id='label_6_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_6_15_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.11' type='checkbox'  value='Less than 1L of culture'  id='choice_6_15_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_15_11' id='label_6_15_11' 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_6_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_6_15_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_15_12' id='label_6_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_6_15_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.13' type='checkbox'  value='More than 10L of culture'  id='choice_6_15_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_15_13' id='label_6_15_13' 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_6_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_6_15_14'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_15_14' id='label_6_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_6_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_6_15_15'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_15_15' id='label_6_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_6_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_6_15_16'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_15_16' id='label_6_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_6_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_6_15_17'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_15_17' id='label_6_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_6_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_6_15_18'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_15_18' id='label_6_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_6_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_6_15_19'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_15_19' id='label_6_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_6_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_6_15_21'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_15_21' id='label_6_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_6_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_6_15_22'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_15_22' id='label_6_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_6_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_6_15_23'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_15_23' id='label_6_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_6_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_6_15_24'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_15_24' id='label_6_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><\/ul><\/div><\/li><li id=\"field_6_19\" class=\"gfield gfield--type-radio gfield--type-choice 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 or its vector have any recognized or anticipated pathogenic, toxigenic, or viral potential for animals, plants, or humans?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_19'>\n\t\t\t<li class='gchoice gchoice_6_19_0'>\n\t\t\t\t<input name='input_19' type='radio' value='Yes'  id='choice_6_19_0'    \/>\n\t\t\t\t<label for='choice_6_19_0' id='label_6_19_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_6_19_1'>\n\t\t\t\t<input name='input_19' type='radio' value='No'  id='choice_6_19_1'    \/>\n\t\t\t\t<label for='choice_6_19_1' id='label_6_19_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_20\" 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_6_20'>If yes, please explain:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_20' id='input_6_20' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_6_29\" 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_6_29'>Description of viral vector (virus name, strain, other identifying information). If more than one, list all that will be used.<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_29' id='input_6_29' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_6_27\" 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_6_27'>Specify the cloned source DNA genus, species, gene name, and gene product (if expressed). If more than one, list all that will be used:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_27' id='input_6_27' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_6_129\" class=\"gfield gfield--type-checkbox gfield--type-choice 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?<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_6_129'><li class='gchoice gchoice_6_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_6_129_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_129_1' id='label_6_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_6_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_6_129_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_129_2' id='label_6_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_6_28\" 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_6_28'>If so, what are the gene product effects? Specifically identify any toxicity, physiological activity, allerginicity, oncogenic potential, or ability to alter the cell cycle.<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_28' id='input_6_28' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_6_31\" 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_6_31'>Host cell(s) or packaging cell line in which recombinant vector will be amplified.  Include strain name:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_31' id='input_6_31' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_6_32\" 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_6_32'>Is the vector replication competent?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_32' id='input_6_32' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_6_37\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Is a helper virus used?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_37'>\n\t\t\t<li class='gchoice gchoice_6_37_0'>\n\t\t\t\t<input name='input_37' type='radio' value='Yes'  id='choice_6_37_0'    \/>\n\t\t\t\t<label for='choice_6_37_0' id='label_6_37_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_6_37_1'>\n\t\t\t\t<input name='input_37' type='radio' value='No'  id='choice_6_37_1'    \/>\n\t\t\t\t<label for='choice_6_37_1' id='label_6_37_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_38\" 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_6_38'>If yes, specify type:<\/label><div class='ginput_container ginput_container_text'><input name='input_38' id='input_6_38' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_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_6_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_6_40' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_6_41\" class=\"gfield gfield--type-radio gfield--type-choice 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?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_41'>\n\t\t\t<li class='gchoice gchoice_6_41_0'>\n\t\t\t\t<input name='input_41' type='radio' value='Yes'  id='choice_6_41_0'    \/>\n\t\t\t\t<label for='choice_6_41_0' id='label_6_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_6_41_1'>\n\t\t\t\t<input name='input_41' type='radio' value='No'  id='choice_6_41_1'    \/>\n\t\t\t\t<label for='choice_6_41_1' id='label_6_41_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_119\" 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_6_119'>What is the source of this material (ATCC, colleague, vendor, other)?<\/label><div class='ginput_container ginput_container_text'><input name='input_119' id='input_6_119' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_43\" 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_6_43'>Please provide a BRIEF description of proposed research<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_43' id='input_6_43' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_6_52\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Are biohazard warning labels in use?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_52'>\n\t\t\t<li class='gchoice gchoice_6_52_0'>\n\t\t\t\t<input name='input_52' type='radio' value='Yes'  id='choice_6_52_0'    \/>\n\t\t\t\t<label for='choice_6_52_0' id='label_6_52_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_6_52_1'>\n\t\t\t\t<input name='input_52' type='radio' value='No'  id='choice_6_52_1'    \/>\n\t\t\t\t<label for='choice_6_52_1' id='label_6_52_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_54\" 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_6_54'>If a stock culture wlll be prepared (or purchased), indicate total volume of stock culture, volume of aliquots, and titer:<\/label><div class='ginput_container ginput_container_text'><input name='input_54' id='input_6_54' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_57\" 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_6_57'>Indicate maximum volume used in an experiment:<\/label><div class='ginput_container ginput_container_text'><input name='input_57' id='input_6_57' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_60\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Do you concentrate the organism in your protocol?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_60'>\n\t\t\t<li class='gchoice gchoice_6_60_0'>\n\t\t\t\t<input name='input_60' type='radio' value='Yes'  id='choice_6_60_0'    \/>\n\t\t\t\t<label for='choice_6_60_0' id='label_6_60_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_6_60_1'>\n\t\t\t\t<input name='input_60' type='radio' value='No'  id='choice_6_60_1'    \/>\n\t\t\t\t<label for='choice_6_60_1' id='label_6_60_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_62\" 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_6_62'>If other,  please indicate the concentration method:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_62' id='input_6_62' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_6_67\" 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\">Animal Uses<\/h2><\/li><li id=\"field_6_68\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Will the biohazardous materials listed above be administered to animals?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_68'>\n\t\t\t<li class='gchoice gchoice_6_68_0'>\n\t\t\t\t<input name='input_68' type='radio' value='Yes'  id='choice_6_68_0'    \/>\n\t\t\t\t<label for='choice_6_68_0' id='label_6_68_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_6_68_1'>\n\t\t\t\t<input name='input_68' type='radio' value='No'  id='choice_6_68_1'    \/>\n\t\t\t\t<label for='choice_6_68_1' id='label_6_68_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_69\" 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_6_69'>If yes, what species will be exposed?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_69' id='input_6_69' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_6_70\" 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_6_70'>Provide the Institutional Animal Care and Use Committee active or pending protocol number:<\/label><div class='ginput_container ginput_container_text'><input name='input_70' id='input_6_70' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_71\" 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_6_71'>State the maximum volume and concentration to be administered per animal:<\/label><div class='ginput_container ginput_container_text'><input name='input_71' id='input_6_71' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_72\" 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_6_72'>State the maximum volume and concentration to be administered per experiment:<\/label><div class='ginput_container ginput_container_text'><input name='input_72' id='input_6_72' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_74\" 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_6_74'>Animal Risk Group (ARG) required:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_74' id='input_6_74' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_6_75\" class=\"gfield gfield--type-checkbox gfield--type-choice 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 proposed route of administration:<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_6_75'><li class='gchoice gchoice_6_75_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_75.1' type='checkbox'  value='Aerosol'  id='choice_6_75_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_75_1' id='label_6_75_1' class='gform-field-label gform-field-label--type-inline'>Aerosol<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_75_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_75.2' type='checkbox'  value='Catheter or cannula'  id='choice_6_75_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_75_2' id='label_6_75_2' class='gform-field-label gform-field-label--type-inline'>Catheter or cannula<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_75_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_75.3' type='checkbox'  value='Intranasal'  id='choice_6_75_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_75_3' id='label_6_75_3' class='gform-field-label gform-field-label--type-inline'>Intranasal<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_75_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_75.4' type='checkbox'  value='IV, IM, IP'  id='choice_6_75_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_75_4' id='label_6_75_4' class='gform-field-label gform-field-label--type-inline'>IV, IM, IP<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_75_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_75.5' type='checkbox'  value='Other'  id='choice_6_75_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_75_5' id='label_6_75_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_6_79\" 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_6_79'>If other, please specify<\/label><div class='ginput_container ginput_container_text'><input name='input_79' id='input_6_79' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_78\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Will the animals be anesthetized or tranquilized during administration?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_78'>\n\t\t\t<li class='gchoice gchoice_6_78_0'>\n\t\t\t\t<input name='input_78' type='radio' value='Yes'  id='choice_6_78_0'    \/>\n\t\t\t\t<label for='choice_6_78_0' id='label_6_78_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_6_78_1'>\n\t\t\t\t<input name='input_78' type='radio' value='No'  id='choice_6_78_1'    \/>\n\t\t\t\t<label for='choice_6_78_1' id='label_6_78_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_80\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Is the agent(s) an:<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_80'>\n\t\t\t<li class='gchoice gchoice_6_80_0'>\n\t\t\t\t<input name='input_80' type='radio' value='animal pathogen'  id='choice_6_80_0'    \/>\n\t\t\t\t<label for='choice_6_80_0' id='label_6_80_0' class='gform-field-label gform-field-label--type-inline'>animal pathogen<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_80_1'>\n\t\t\t\t<input name='input_80' type='radio' value='human pathogen'  id='choice_6_80_1'    \/>\n\t\t\t\t<label for='choice_6_80_1' id='label_6_80_1' class='gform-field-label gform-field-label--type-inline'>human pathogen<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_80_2'>\n\t\t\t\t<input name='input_80' type='radio' value='insect pathogen'  id='choice_6_80_2'    \/>\n\t\t\t\t<label for='choice_6_80_2' id='label_6_80_2' class='gform-field-label gform-field-label--type-inline'>insect pathogen<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_80_3'>\n\t\t\t\t<input name='input_80' type='radio' value='plant pathogen'  id='choice_6_80_3'    \/>\n\t\t\t\t<label for='choice_6_80_3' id='label_6_80_3' class='gform-field-label gform-field-label--type-inline'>plant pathogen<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_80_4'>\n\t\t\t\t<input name='input_80' type='radio' value='transmissible from animal to human'  id='choice_6_80_4'    \/>\n\t\t\t\t<label for='choice_6_80_4' id='label_6_80_4' class='gform-field-label gform-field-label--type-inline'>transmissible from animal to human<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_80_5'>\n\t\t\t\t<input name='input_80' type='radio' value='transmissible from animal to animal'  id='choice_6_80_5'    \/>\n\t\t\t\t<label for='choice_6_80_5' id='label_6_80_5' class='gform-field-label gform-field-label--type-inline'>transmissible from animal to animal<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_84\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Will the agent(s) be inactivated prior to use in animals?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_84'>\n\t\t\t<li class='gchoice gchoice_6_84_0'>\n\t\t\t\t<input name='input_84' type='radio' value='Yes'  id='choice_6_84_0'    \/>\n\t\t\t\t<label for='choice_6_84_0' id='label_6_84_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_6_84_1'>\n\t\t\t\t<input name='input_84' type='radio' value='No'  id='choice_6_84_1'    \/>\n\t\t\t\t<label for='choice_6_84_1' id='label_6_84_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_85\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Will the animals be housed in micro-isolator cages?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_85'>\n\t\t\t<li class='gchoice gchoice_6_85_0'>\n\t\t\t\t<input name='input_85' type='radio' value='Yes'  id='choice_6_85_0'    \/>\n\t\t\t\t<label for='choice_6_85_0' id='label_6_85_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_6_85_1'>\n\t\t\t\t<input name='input_85' type='radio' value='No'  id='choice_6_85_1'    \/>\n\t\t\t\t<label for='choice_6_85_1' id='label_6_85_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_86\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Will there be any special procedures or containment needed?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_86'>\n\t\t\t<li class='gchoice gchoice_6_86_0'>\n\t\t\t\t<input name='input_86' type='radio' value='Yes'  id='choice_6_86_0'    \/>\n\t\t\t\t<label for='choice_6_86_0' id='label_6_86_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_6_86_1'>\n\t\t\t\t<input name='input_86' type='radio' value='No'  id='choice_6_86_1'    \/>\n\t\t\t\t<label for='choice_6_86_1' id='label_6_86_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_88\" 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_6_88'>If yes, describe any special requirements:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_88' id='input_6_88' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_6_87\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Will the animal work be performed in a biosafety cabinet?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_87'>\n\t\t\t<li class='gchoice gchoice_6_87_0'>\n\t\t\t\t<input name='input_87' type='radio' value='Yes'  id='choice_6_87_0'    \/>\n\t\t\t\t<label for='choice_6_87_0' id='label_6_87_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_6_87_1'>\n\t\t\t\t<input name='input_87' type='radio' value='No'  id='choice_6_87_1'    \/>\n\t\t\t\t<label for='choice_6_87_1' id='label_6_87_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_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_6_90\" class=\"gfield gfield--type-checkbox gfield--type-choice 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:<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_6_90'><li class='gchoice gchoice_6_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 (BSL-2)'  id='choice_6_90_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_90_1' id='label_6_90_1' class='gform-field-label gform-field-label--type-inline'>Containment suite (BSL-2)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_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_6_90_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_90_2' id='label_6_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_6_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_6_90_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_90_3' id='label_6_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_6_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_6_90_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_90_4' id='label_6_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_6_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_6_90_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_90_5' id='label_6_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_6_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_6_91'>If other, please specify:<\/label><div class='ginput_container ginput_container_text'><input name='input_91' id='input_6_91' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_92\" class=\"gfield gfield--type-radio gfield--type-choice 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?<\/label><div class='gfield_description' id='gfield_description_6_92'>Sharps used at RG 2 and above should be minimized. <\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_92'>\n\t\t\t<li class='gchoice gchoice_6_92_0'>\n\t\t\t\t<input name='input_92' type='radio' value='Yes'  id='choice_6_92_0'    \/>\n\t\t\t\t<label for='choice_6_92_0' id='label_6_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_6_92_1'>\n\t\t\t\t<input name='input_92' type='radio' value='No'  id='choice_6_92_1'    \/>\n\t\t\t\t<label for='choice_6_92_1' id='label_6_92_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_93\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Has the research protocol been reviewed to eliminate or minimize the use of sharps where possible?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_93'>\n\t\t\t<li class='gchoice gchoice_6_93_0'>\n\t\t\t\t<input name='input_93' type='radio' value='Yes'  id='choice_6_93_0'    \/>\n\t\t\t\t<label for='choice_6_93_0' id='label_6_93_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_6_93_1'>\n\t\t\t\t<input name='input_93' type='radio' value='No'  id='choice_6_93_1'    \/>\n\t\t\t\t<label for='choice_6_93_1' id='label_6_93_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_94\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Are sharps with integrated safety devices or mechanisms available and used?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_94'>\n\t\t\t<li class='gchoice gchoice_6_94_0'>\n\t\t\t\t<input name='input_94' type='radio' value='Yes'  id='choice_6_94_0'    \/>\n\t\t\t\t<label for='choice_6_94_0' id='label_6_94_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_6_94_1'>\n\t\t\t\t<input name='input_94' type='radio' value='No'  id='choice_6_94_1'    \/>\n\t\t\t\t<label for='choice_6_94_1' id='label_6_94_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_96\" class=\"gfield gfield--type-checkbox gfield--type-choice 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:<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_6_96'><li class='gchoice gchoice_6_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_6_96_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_96_1' id='label_6_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_6_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_6_96_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_96_2' id='label_6_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_6_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_6_96_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_96_3' id='label_6_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_6_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_6_96_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_96_4' id='label_6_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_6_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_6_96_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_96_5' id='label_6_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_6_98\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >-- For each type of clean up, please indicate disinfectant methods. --<\/label><div class='gfield_description' id='gfield_description_6_98'>Routine spill cleanup<\/div><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_6_98'><li class='gchoice gchoice_6_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_6_98_1'   aria-describedby=\"gfield_description_6_98\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_6_98_1' id='label_6_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_6_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_6_98_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_98_2' id='label_6_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_6_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_6_98_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_98_3' id='label_6_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_6_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_6_98_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_98_4' id='label_6_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_6_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_6_98_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_98_5' id='label_6_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_6_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_6_98_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_98_6' id='label_6_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_6_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_6_98_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_98_7' id='label_6_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_6_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_6_98_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_98_8' id='label_6_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_6_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_6_99'>If other, please specify<\/label><div class='ginput_container ginput_container_text'><input name='input_99' id='input_6_99' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_100\" class=\"gfield gfield--type-checkbox gfield--type-choice 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<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_6_100'><li class='gchoice gchoice_6_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_6_100_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_100_1' id='label_6_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_6_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_6_100_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_100_2' id='label_6_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_6_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_6_100_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_100_3' id='label_6_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_6_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_6_100_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_100_4' id='label_6_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_6_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_6_100_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_100_5' id='label_6_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_6_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_6_100_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_100_6' id='label_6_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_6_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_6_100_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_100_7' id='label_6_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_6_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_6_100_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_100_8' id='label_6_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_6_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_6_101'>If other, please specify<\/label><div class='ginput_container ginput_container_text'><input name='input_101' id='input_6_101' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_102\" class=\"gfield gfield--type-checkbox gfield--type-choice 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<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_6_102'><li class='gchoice gchoice_6_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_6_102_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_102_1' id='label_6_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_6_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_6_102_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_102_2' id='label_6_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_6_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_6_102_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_102_3' id='label_6_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_6_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_6_102_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_102_4' id='label_6_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_6_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_6_102_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_102_5' id='label_6_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_6_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_6_102_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_102_6' id='label_6_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_6_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_6_102_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_102_7' id='label_6_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_6_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_6_102_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_102_8' id='label_6_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_6_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_6_103'>If other, please specify<\/label><div class='ginput_container ginput_container_text'><input name='input_103' id='input_6_103' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_136\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Animal carcasses will be stored in a -20C freezer in biohazard bags and disposed of via incineration<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_136'>\n\t\t\t<li class='gchoice gchoice_6_136_0'>\n\t\t\t\t<input name='input_136' type='radio' value='Yes'  id='choice_6_136_0'    \/>\n\t\t\t\t<label for='choice_6_136_0' id='label_6_136_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_6_136_1'>\n\t\t\t\t<input name='input_136' type='radio' value='No'  id='choice_6_136_1'    \/>\n\t\t\t\t<label for='choice_6_136_1' id='label_6_136_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_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_6_105'>If other, please specify<\/label><div class='ginput_container ginput_container_text'><input name='input_105' id='input_6_105' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_106\" 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_6_106'>If you would use other methods of disinfecting, or can identify other types of waste that you would need to address, please provide detailed information here:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_106' id='input_6_106' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_6_107\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_107'>-- Principal Investigator&#039;s Assessment of Risk --<\/label><div class='gfield_description' id='gfield_description_6_107'>What is the most serious adverse effect you can foresee as a result of this experiment?<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_107' id='input_6_107' class='textarea medium'  aria-describedby=\"gfield_description_6_107\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_6_115\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Is there any potential for this material to be contaminated with an organism of a higher risk group?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_115'>\n\t\t\t<li class='gchoice gchoice_6_115_0'>\n\t\t\t\t<input name='input_115' type='radio' value='Yes'  id='choice_6_115_0'    \/>\n\t\t\t\t<label for='choice_6_115_0' id='label_6_115_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_6_115_1'>\n\t\t\t\t<input name='input_115' type='radio' value='No'  id='choice_6_115_1'    \/>\n\t\t\t\t<label for='choice_6_115_1' id='label_6_115_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_121\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Additional vaccination is required for work on this project<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_121'>\n\t\t\t<li class='gchoice gchoice_6_121_0'>\n\t\t\t\t<input name='input_121' type='radio' value='Yes'  id='choice_6_121_0'    \/>\n\t\t\t\t<label for='choice_6_121_0' id='label_6_121_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_6_121_1'>\n\t\t\t\t<input name='input_121' type='radio' value='No'  id='choice_6_121_1'    \/>\n\t\t\t\t<label for='choice_6_121_1' id='label_6_121_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_124\" 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_6_124'>If yes, please specify<\/label><div class='ginput_container ginput_container_text'><input name='input_124' id='input_6_124' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><\/ul><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_6' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Submit'  \/> <a type='button' href=\"javascript:void(0);\" id='gform_save_6_footer_link' 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