NSRRC | NSRRC Mutant Swine Strain Submission Application

NSRRC Mutant Swine Strain Submission Application

Dear Submitting Investigator,

Please use the following form to provide general information on your swine strain.

Please also submit (electronically) a reprint or pre-print (either as the full text or publicly accessible URL to the full text) describing your swine strain. Please send electronic reprint/pre-print as attachments via e-mail to NSRRC@missouri.edu.

Within 60 days, you will be notified of the disposition of your strain by e-mail.

* = required information

APPLICANT INFORMATION:

I have read, accept and can meet the Terms
and Conditions specified for Strain Submission. YES * NO

Today's Date (at our server):

Investigator:

Institution:

Department/Bldg/Room:

Postal Address

City:

State/Province:

Zip Code/Postal Code:

Country:

Phone Number:

Fax Number:

E-mail Address:

SWINE STRAIN INFORMATION:

Strain name
(as used in donor's laboratory):

Background Strain:

# Backcrosses to Background Strain:

Nature of Mutation:

Genetic Alteration(s):

Phenotype Description:

Genotyping Method:

Potential Uses:

Other Characteristics or
Special Circumstances:

Full Citation (and URL if available):

#	Author(s), Title, Pub, Date, Vol, Page(s)	Electronic Access
1		URL
2		URL
3		URL

List the names of other known
persons/holders of this Strain:

How many requests have you had for
this swine strain over the last 6 months?

If accepted, how soon could you
provide pigs from this strain?

What number of males and females
would you be able to provide,
and how soon?