Fort Hays State University

STUDENTS:

Research & Grants

Membership Of Institutional
Animal Care And Use Committee

Assurance Number ______________________________________

Date _____________________________________________

Member's Name/*/ First, M.I., Last	Degrees Or Other Credentials	Position Title (If Any)	Affiliation With Institution (If None, State)	Address And Phone Number Of Chairperson

* - Indicates Chairperson

** - Indicates Non-Scientific Member

NV - Indicates Non-Voting Member

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