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IACUC QUALIFICATIONS FORM

All personnel working in animal facilities or in contact with animals in the course of their work are encouraged to participate in baseline and annual health screenings. All students working in animal facilities or in contact with animals in the course of their work are required to participate in baseline and annual health screenings. Health screenings are administered by the Lehigh University Health and Wellness Center. 

The month and year of your last tetanus inoculation must be listed on this Qualifications Form. Students and personnel working in animal facilities or in contact with animals are required to have a tetanus inoculation at least every ten years.

Please complete the Health Questionnaire Form, print, sign, and return it directly to the Health and Wellness Center. Report the date that you submitted the Health Questionnaire Form to the Health and Wellness Center on this Qualifications Form. Students are required to submit a Health Questionnaire Form annually.

Please read the General Zoonotic Training information and certify that you have read and understand it on this Qualifications Form.

If YES, describe below.
If YES, describe below.
If YES, describe below.

Office of Vice President and Associate Provost for Research and Graduate Studies • Lehigh University • 7 Asa Drive, Bethlehem, PA 18015 • (610) 758-2585