 |
Application for Materials
The North American Rheumatoid Arthritis
Consortium (NARAC), supported by National Institutes of Health and the
National Arthritis Foundation, maintains a database and repository of DNA and
serum for use by qualified members of the scientific community. The repository
contains samples and information on multiplex families with rheumatoid
arthritis. DNA samples are available in at least one parent in over half of
the families in the repository. A description of the NARAC repository and a
summary data is available at http://www.naracdata.org/.
I. On separate pages, please
provide the following information:
- Name and address of applicant
- Institution (s) and addresses where work will be performed.
- List all key personnel involved with the project
- Provide a biographical sketch for key personnel (use NIH format)
- Details of proposed project/use of materials (do not exceed 5 pages).
- Exact description of materials requested (e.g. DNA, serum, database
information) including number of samples and amount.
- Specific justification for number and amount of samples requested.
(Note: we assume that PCR assays can be reasonably performed for most
applications on 2ng of genomic DNA or less)
- Page II of this application signed by applicant and institutional
official.
II. The applicant and an institutional
official agree to the following conditions:
- Specimens obtained through this application process cannot be shared
with any other outside investigators or research groups without specific
permission from NARAC. These materials may not be transferred to any
commercial entity; applicants may not act as contractor for a commercial
entity to analyze these materials; nor may applicants exploit this material
for commercial gain, either directly or indirectly, without the
participation and written agreement of NARAC.
- If access to this material or data make a contribution to a publication
or scientific presentation, the recipient must specifically acknowledge the
contributions of NARAC.
- If genetic mapping data are generated using NARAC samples, the results
must be made available to NARAC within a reasonable period, but not more
than one year after publication of results. It is the intent of NARAC to
maintain a genetic database on NARAC families will be available to the
scientific community.
| Declaration: |
We agree to the above stipulations regarding use of materials
from the NARAC repository and database.
|
| Applicant: |
__________________________ |
|
|
|
| Title: |
__________________________ |
|
|
|
| Signature: |
__________________________ |
Date: |
_________ |
|
|
|
|
|
|
| Institutional Official: |
__________________________ |
|
|
|
| Title: |
__________________________ |
|
|
|
| Signature: |
__________________________ |
Date: |
_________ |
|
Please send six signed copies of this application to:
Dr. Peter K. Gregersen Principal Investigator, NARAC Division
of Biology and Human Genetics North Shore University Hospital 350
Community Drive Manhasset, NY 11030
|