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Abstract Form

This document is an official abstract and certification form for a research project, requiring details about the student, their school, and the nature of their research. It includes sections for certifying compliance with regulations, handling of biological agents, and the originality of the work. The form must be completed accurately to reflect the student's independent research and obtain necessary approvals.

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camilleiya1109
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13 views1 page

Abstract Form

This document is an official abstract and certification form for a research project, requiring details about the student, their school, and the nature of their research. It includes sections for certifying compliance with regulations, handling of biological agents, and the originality of the work. The form must be completed accurately to reflect the student's independent research and obtain necessary approvals.

Uploaded by

camilleiya1109
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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OFFICIAL ABSTRACT and CERTIFICATION

Category
Type Title Here Pick one only —
mark an “X” in box
at right
Type Student Name(s) Here
Animal Sciences
Type School Name, City and State, Country Here
Behavioral & Social
Start Typing the Body of Your Abstract Here Beginning at the Left Margin Sciences
Biochemistry
Biomedical & Health
Sciences
Biomedical Engineering
Cellular & Molecular
Biology
Chemistry
Computational Biology
& Bioinformatics
Earth & Environmental
Sciences
Embedded Systems
Energy: Sustainable
Materials and Design
Engineering Mechanics
Environmental
Engineering
Materials Science
Mathematics
1. As a part of this research project, the student directly handled, manipulated, or
Microbiology
interacted with (check ALL that apply):
Physics & Astronomy
o human participants o potentially hazardous biological agents
Plant Sciences
o vertebrate animals o microorganisms o rDNA o tissue Robotics & Intelligent
Machines
2. I/we worked or used equipment in a regulated research institution o Yes o No
Systems Software
or industrial setting:
Translational Medical
Sciences
3. This project is a continuation of previous research. o Yes o No

4. My display board includes non-published photographs/visual o Yes o No


depictions of humans (other than myself):

5. This abstract describes only procedures performed by me/us, o Yes o No


reflects my/our own independent research, and represents one year’s
work only

6. I/we hereby certify that the abstract and responses to the o Yes o No
above statements are correct and properly reflect my/our own work.

This stamp or embossed seal attests that this project is in compliance with all federal
and state laws and regulations and that all appropriate reviews and approvals have
been obtained including the final clearance by the Scientific Review Committee.

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