The information requested on the application is necessary to request tissues, slides, or biological fluids, or other samples from the CCOGC. Please read the directions carefully to be sure that all information is provided that is necessary to release samples to the investigator.
The Principal Investigator (PI) responsible for overseeing the project and controlling the laboratory and personnel who will receive, use and process the requested specimens should complete this application. Any transfer of samples, aliquots, derivatives or associated clinical data to collaborating personnel or laboratories that are not under the direct supervision of the indicated PI requires the following:
- A written justification of the need to transfer the materials and benefit to the applicant’s research.
- Copies of the AGREEMENT FOR USE OF TISSUE signed by the collaborator.
- Documentation of the collaborator’s IACUC approval or exemption unless the collaborator is covered under the IACUC approval granted for the project proposed in this application.
- Amended approval of the transfer from the CCOGC prior to initiation of any transfer to a secondary organization or investigator.
The CCOGC does not supply samples to specimen banks whose purpose is distribution to third-party researchers; those researchers should be encouraged to apply to the CCOGC directly.
The information in these forms is necessary in order to document correctly your request for tissue and other services. When submitting a written request for services:
- If requesting specimens from more than one specific anatomic site or disease, please complete separate copies of the Request Information Form (biospecimen and donor) as necessary.
- Animal identity is confidential. Samples and accompanying clinical data will be identified by a CCOGC code. Primary animal identity will not be released under any circumstances.
- The PI is responsible for remission of processing fees to the CCOGC for each specimen provided, including fees for any additional services performed and any shipping costs not directly billed to the applicant’s courier account. Please refer to our website, www.CCOGC.net, for the current fee table.
- If required by their institution, PIs must provide evidence of IACUC review in order to receive specimens from the CCOGC.
Below are instructions to submit an application for canine tissues to the Canine Comparative Oncology Genomics Consortium.
For any questions regarding the application please contact Linda Costine at email@example.com
2. Save pdf to desktop and open using Adobe Reader. Click here if you need to upgrade to the latest version of Adobe Reader"
3. If requesting more than one histology, click the "+" icon on page 3.
4. Once complete save as "CCOGC_last name.pdf"
5. Click here to upload your application.
6. You will receive an email receipt once your application has been received. At that time there are no additional steps to complete. You will be contacted directly by the CCOGC to confirm your application has been received.
7. The MTA should be signed and submitted at the time of application submission. The MTA can be emailed to Linda Costine at Biospecimens@ccogc.net or faxed to 919-879-8438.