Application form 5

 

Application form 5
  • Application for SACEC approval to house production animals intensively. To be used to seek approval to keep poultry in battery cages or sows in farrowing crates.
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  • A separate application form is needed for each activity.
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  • Have you attached a copy of your current completed Animal Research Authority? (This should be done at the end of the form prior to sign off).*select just one
    Yes
    No
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  • Does your school hold a current Animal Research Authority for category 4 or 5 activities?*select just one
    Yes
    No
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  • School name*
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  • School address*
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  • School phone*
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  • School fax*
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  • Name of within-school Animal Welfare Liaison Officer*
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  • Species of animal to be housed intensively.*
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  • Provide a description of the type of housing to be used*
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  • Number of animals to be housed.*
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  • Anticipated period of time of housing in this manner.*
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  • History of the animals prior to this time.*
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  • Provide reasons for using this type of housing.*
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  • Refer to Educational justification to answer the question below.
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  • What is the educational justification for using this type of housing?*
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  • Provide details of the routine management of the animals in this housing.*
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  • Animals that are housed intensively may suffer the effects of stress. These signs will be particular to the species. Describe any signs (either physical or behavioural) that may be displayed by the animals you intend to house and what you will do to ameliorate this stress.
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  • Sign of stress*
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  • Amelioration of stress*
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  • Attach supporting documents* Upload supporting files
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    • By submitting this application I declare that the information provided above is accurate and describes the proposed activity/housing. I declare that the animals will be cared for/housed as detailed in the application form.
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    • Please read the statement above and choose one of the following options:*
      I AGREE WITH THE STATEMENT
      I DISAGREE WITH THE STATEMENT
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    • Name of AWLO*
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    • AWLO's Email*
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    • The School Principal has approved of the submission of this application*
      Yes
      No
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    • Name of Principal*
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    • Principal's Email*
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    • Date*
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