Institutional Agreement FormInstitutional Agreement • July 3rd, 2012
Contract Type FiledJuly 3rd, 2012Principal Investigator's Full Name: Title of Research Project: Sponsoring Institution: FFB Grant Number: TO BE COMPLETED BY SPONSORING INSTITUTION Will any of the following be used in the projects? Animal Subjects? Human Subjects? IACUC Approval Obtained? IRB Approval Obtained? IBC Approval Obtained? CERTIFICATION OF ACCEPTANCE: (use N/A if not applicable)The following statements are signed by an individual authorized to act for the Institution and to assume on behalf of the Institution the obligations imposed below:The Institution agrees that if a Foundation Fighting Blindness Award is accepted, it will comply with the requirements listed below, the "Conditions of Award" and the Patent Policy of The Foundation Fighting Blindness.If human subjects are used in any of the activities supported by such, these activities must conform with the guidelines prescribed by the U.S. Department of Health and Human Services with respect to the rights and welfare of such subjects. Answering “