SOP - PRF Access Form
SOP - PRF Access Form
Texas A&M Irma Lerma Rangel College of Pharmacy
Name
Name
*
First
Middle
Last
Email
*
UIN
*
Request Date
Request Date
*
/
MM
/
DD
YYYY
Cell Phone #
Cell Phone #
*
-
###
-
###
####
Lab Phone #
Lab Phone #
*
-
###
-
###
####
*
Faculty
Staff
Student
Academic Collaboration
Principal Investigator:
*
Protocol(s) That Requestor Is Listed On:
(Please provide complete protocol #'s)
*
CITI Training Complete?
(If yes, please attach certificate & approval memo)
*
CITI Training Complete?
(If yes, please attach certificate & approval memo)
No
Yes
Attach CITI Training Certificate & Approval Memo
Attach Files
BSL2 Training Complete?
(If applicable)
*
BSL2 Training Complete?
(If applicable)
No
Yes
OHP Enrollment Complete?
*
OHP Enrollment Complete?
No
Yes