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.

Please complete the following questions. * = required field

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APPLICANT INFORMATION
I have read, accept and can meet the Terms and Conditions specified for Strain Submission.	YESNO
Investigator:	*
Institution:	*
Department/Bldg/Room:
Postal Address
City:
State/Province:
Zip Code/Postal Code:
Country:
Phone:	*
Fax:
Email:	*
SWINE STRAIN INFORMATION:
Strain name (as used in donor's laboratory):
Background Strain:
# Backcrosses to Background Strain:
Nature of Mutation:	transgenic congenic recombinant spontaneous mutant induced (i.e. ENU) unknown
Genetic Alteration(s):
Phenotype Description:
Genotyping Method:
Potential Uses:
Other Characteristics or Special Circumstances:
Full Citation:
# Author(s), Title, Pub, Date, Vol, Page(s) 1 2 3
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?