{"id":55994,"date":"2025-02-10T18:10:52","date_gmt":"2025-02-10T23:10:52","guid":{"rendered":"https:\/\/www.bu.edu\/research\/?post_type=forms-policies&#038;p=55994"},"modified":"2025-02-10T18:22:48","modified_gmt":"2025-02-10T23:22:48","slug":"equipment-loan-agreement","status":"publish","type":"forms-policies","link":"https:\/\/www.bu.edu\/research\/forms-policies\/equipment-loan-agreement\/","title":{"rendered":"Incoming Equipment Loan Agreement Form"},"content":{"rendered":"<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_217' style='display:none'>\n                        <div class='gform_heading'>\n                            <h3 class=\"gform_title\">Incoming Equipment Loan Agreement Form<\/h3>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_217'  action='\/research\/wp-json\/wp\/v2\/forms-policies\/55994' data-formid='217' >\n                        <div class='gform-body gform_body'><ul id='gform_fields_217' class='gform_fields top_label form_sublabel_above description_above'><li id=\"field_217_3\"  class=\"gfield gfield--type-section gsection field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_217_3\"><h2 class=\"gsection_title\">1. BU Contact Information:<\/h2><\/li><li id=\"field_217_1\"  class=\"gfield gfield--type-text gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_217_1\"><label class='gfield_label gform-field-label' for='input_217_1' >BU Principal Investigator (PI) Name:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_217_1' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_217_5\"  class=\"gfield gfield--type-text gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_217_5\"><label class='gfield_label gform-field-label' for='input_217_5' >BU PI Department:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_217_5' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_217_6\"  class=\"gfield gfield--type-phone gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_217_6\"><label class='gfield_label gform-field-label' for='input_217_6' >BU PI Phone:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_6' id='input_217_6' type='text' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_217_7\"  class=\"gfield gfield--type-email gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_217_7\"><label class='gfield_label gform-field-label' for='input_217_7' >BU PI Email:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_7' id='input_217_7' type='text' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_217_10\"  class=\"gfield gfield--type-text gfield_contains_required field_sublabel_above gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_217_10\"><label class='gfield_label gform-field-label' for='input_217_10' >BU PI Lab Location<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_217_10'>(Include room, street, and ZIP code.)<\/div><div class='ginput_container ginput_container_text'><input name='input_10' id='input_217_10' type='text' value='' class='medium'  aria-describedby=\"gfield_description_217_10\"   aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_217_13\"  class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_above gfield--no-description field_description_below hidden_label gfield_visibility_visible\"  data-js-reload=\"field_217_13\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >Check here if to specify an alternate BU\/BMC contact besides the PI.<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_217_13'><li class='gchoice gchoice_217_13_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_13.1' type='checkbox'  value='Check here if to specify an alternate BU\/BMC contact besides the PI.'  id='choice_217_13_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_217_13_1' id='label_217_13_1' class='gform-field-label gform-field-label--type-inline'>Check here if to specify an alternate BU\/BMC contact besides the PI.<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_217_14\"  class=\"gfield gfield--type-text gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_217_14\"><label class='gfield_label gform-field-label' for='input_217_14' >Alternate BU Contact Name:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_14' id='input_217_14' type='text' value='' class='small'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_217_15\"  class=\"gfield gfield--type-text gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_217_15\"><label class='gfield_label gform-field-label' for='input_217_15' >Alternate BU Contact Email:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_15' id='input_217_15' type='text' value='' class='small'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_217_16\"  class=\"gfield gfield--type-section gsection field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_217_16\"><h2 class=\"gsection_title\">2. External Party Equipment Provider<\/h2><\/li><li id=\"field_217_17\"  class=\"gfield gfield--type-text gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_217_17\"><label class='gfield_label gform-field-label' for='input_217_17' >External Party Organization Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_17' id='input_217_17' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_217_18\"  class=\"gfield gfield--type-text gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_217_18\"><label class='gfield_label gform-field-label' for='input_217_18' >External Party Provider Primary Contact<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_18' id='input_217_18' type='text' value='' class='small'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_217_21\"  class=\"gfield gfield--type-phone gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_217_21\"><label class='gfield_label gform-field-label' for='input_217_21' >External Party Phone:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_21' id='input_217_21' type='text' value='' class='small'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_217_20\"  class=\"gfield gfield--type-text gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_217_20\"><label class='gfield_label gform-field-label' for='input_217_20' >External Party Email:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_20' id='input_217_20' type='text' value='' class='small'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_217_142\"  class=\"gfield gfield--type-section gsection field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_217_142\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_217_28\"  class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_217_28\"><label class='gfield_label gform-field-label' for='input_217_28' >3. Identification and Description of the Equipment being received by BU:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_28' id='input_217_28' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_217_141\"  class=\"gfield gfield--type-section gsection field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_217_141\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_217_30\"  class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_217_30\"><label class='gfield_label gform-field-label' for='input_217_30' >4. Description of Research to be conducted at BU with the loaned equipment<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_30' id='input_217_30' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_217_166\"  class=\"gfield gfield--type-section gsection field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_217_166\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_217_165\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gf_list_5col gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_217_165\"><label class='gfield_label gform-field-label'  >5. What is the approximate value of the Equipment?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_217_165'>\n\t\t\t<li class='gchoice gchoice_217_165_0'>\n\t\t\t\t<input name='input_165' type='radio' value='Under $5,000'  id='choice_217_165_0'    \/>\n\t\t\t\t<label for='choice_217_165_0' id='label_217_165_0' class='gform-field-label gform-field-label--type-inline'>Under $5,000<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_217_165_1'>\n\t\t\t\t<input name='input_165' type='radio' value='$5,000 or greater'  id='choice_217_165_1'    \/>\n\t\t\t\t<label for='choice_217_165_1' id='label_217_165_1' class='gform-field-label gform-field-label--type-inline'>$5,000 or greater<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_217_165_2'>\n\t\t\t\t<input name='input_165' type='radio' value='Don&#039;t know'  id='choice_217_165_2'    \/>\n\t\t\t\t<label for='choice_217_165_2' id='label_217_165_2' class='gform-field-label gform-field-label--type-inline'>Don't know<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_217_91\"  class=\"gfield gfield--type-section gsection field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_217_91\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_217_112\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gf_list_5col gfield_contains_required field_sublabel_above gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_217_112\"><label class='gfield_label gform-field-label'  >6. Is your research with the requested Equipment being conducted in a BU-owned space?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_217_112'>If in BMC-owned space, this Equipment Loan Agreement request should be sent to the <a href=\"https:\/\/www.bmc.org\/research-operations\">BMC Grants Office<\/a>.<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_217_112'>\n\t\t\t<li class='gchoice gchoice_217_112_0'>\n\t\t\t\t<input name='input_112' type='radio' value='Yes'  id='choice_217_112_0'    \/>\n\t\t\t\t<label for='choice_217_112_0' id='label_217_112_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_217_112_1'>\n\t\t\t\t<input name='input_112' type='radio' value='No'  id='choice_217_112_1'    \/>\n\t\t\t\t<label for='choice_217_112_1' id='label_217_112_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_217_143\"  class=\"gfield gfield--type-address gfield--width-full field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_217_143\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >BU location of where Research using Equipment will be conducted:<\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_217_143' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_217_143_1_container' >\n                                        <label for='input_217_143_1' id='input_217_143_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                        <input type='text' name='input_143.1' id='input_217_143_1' value=''    aria-required='false'    \/>\n                                   <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_217_143_2_container' >\n                                        <label for='input_217_143_2' id='input_217_143_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                        <input type='text' name='input_143.2' id='input_217_143_2' value=''     aria-required='false'   \/>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_217_143_3_container' >\n                                    <label for='input_217_143_3' id='input_217_143_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                    <input type='text' name='input_143.3' id='input_217_143_3' value=''    aria-required='false'    \/>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_217_143_4_container' >\n                                        <label for='input_217_143_4' id='input_217_143_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                        <select name='input_143.4' id='input_217_143_4'     aria-required='false'    ><option value='' ><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' selected='selected'>Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_217_143_5_container' >\n                                    <label for='input_217_143_5' id='input_217_143_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                    <input type='text' name='input_143.5' id='input_217_143_5' value=''    aria-required='false'    \/>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_143.6' id='input_217_143_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_217_106\"  class=\"gfield gfield--type-section gsection field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_217_106\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_217_113\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gf_list_5col gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_217_113\"><label class='gfield_label gform-field-label'  >7. Will you be using the Equipment on live animals?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_217_113'>\n\t\t\t<li class='gchoice gchoice_217_113_0'>\n\t\t\t\t<input name='input_113' type='radio' value='Yes'  id='choice_217_113_0'    \/>\n\t\t\t\t<label for='choice_217_113_0' id='label_217_113_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_217_113_1'>\n\t\t\t\t<input name='input_113' type='radio' value='No'  id='choice_217_113_1'    \/>\n\t\t\t\t<label for='choice_217_113_1' id='label_217_113_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_217_95\"  class=\"gfield gfield--type-section gsection field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_217_95\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_217_114\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gf_list_5col gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_217_114\"><label class='gfield_label gform-field-label'  >8. Is the Equipment to be used on living persons? If YES, research may not be permitted under an Equipment Agreement alone.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_217_114'>\n\t\t\t<li class='gchoice gchoice_217_114_0'>\n\t\t\t\t<input name='input_114' type='radio' value='Yes'  id='choice_217_114_0'    \/>\n\t\t\t\t<label for='choice_217_114_0' id='label_217_114_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_217_114_1'>\n\t\t\t\t<input name='input_114' type='radio' value='No'  id='choice_217_114_1'    \/>\n\t\t\t\t<label for='choice_217_114_1' id='label_217_114_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_217_97\"  class=\"gfield gfield--type-section gsection field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_217_97\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_217_116\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gf_list_5col gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_217_116\"><label class='gfield_label gform-field-label'  >9. Has the use of the Equipment been submitted to the BU IRB?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_217_116'>\n\t\t\t<li class='gchoice gchoice_217_116_0'>\n\t\t\t\t<input name='input_116' type='radio' value='Yes'  id='choice_217_116_0'    \/>\n\t\t\t\t<label for='choice_217_116_0' id='label_217_116_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_217_116_1'>\n\t\t\t\t<input name='input_116' type='radio' value='No'  id='choice_217_116_1'    \/>\n\t\t\t\t<label for='choice_217_116_1' id='label_217_116_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_217_116_2'>\n\t\t\t\t<input name='input_116' type='radio' value='N\/A'  id='choice_217_116_2'    \/>\n\t\t\t\t<label for='choice_217_116_2' id='label_217_116_2' class='gform-field-label gform-field-label--type-inline'>N\/A<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_217_98\"  class=\"gfield gfield--type-section gsection field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_217_98\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_217_117\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gf_list_5col gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_217_117\"><label class='gfield_label gform-field-label'  >10. Will you be modifying the Equipment?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_217_117'>\n\t\t\t<li class='gchoice gchoice_217_117_0'>\n\t\t\t\t<input name='input_117' type='radio' value='Yes'  id='choice_217_117_0'    \/>\n\t\t\t\t<label for='choice_217_117_0' id='label_217_117_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_217_117_1'>\n\t\t\t\t<input name='input_117' type='radio' value='No'  id='choice_217_117_1'    \/>\n\t\t\t\t<label for='choice_217_117_1' id='label_217_117_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_217_99\"  class=\"gfield gfield--type-section gsection field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_217_99\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_217_118\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gf_list_5col gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_217_118\"><label class='gfield_label gform-field-label'  >11. Will the Equipment be used in any research project that is funded by industry sponsor(s) other than the Provider of the Equipment?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_217_118'>\n\t\t\t<li class='gchoice gchoice_217_118_0'>\n\t\t\t\t<input name='input_118' type='radio' value='Yes'  id='choice_217_118_0'    \/>\n\t\t\t\t<label for='choice_217_118_0' id='label_217_118_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_217_118_1'>\n\t\t\t\t<input name='input_118' type='radio' value='No'  id='choice_217_118_1'    \/>\n\t\t\t\t<label for='choice_217_118_1' id='label_217_118_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_217_100\"  class=\"gfield gfield--type-section gsection field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_217_100\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_217_145\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_217_145\"><label class='gfield_label gform-field-label'  >12. Do you have funding to support this research?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_217_145'>Please provide grant\/award number, if applicable.<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_217_145'>\n\t\t\t<li class='gchoice gchoice_217_145_0'>\n\t\t\t\t<input name='input_145' type='radio' value='Yes'  id='choice_217_145_0'    \/>\n\t\t\t\t<label for='choice_217_145_0' id='label_217_145_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_217_145_1'>\n\t\t\t\t<input name='input_145' type='radio' value='No'  id='choice_217_145_1'    \/>\n\t\t\t\t<label for='choice_217_145_1' id='label_217_145_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_217_146\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_217_146\"><label class='gfield_label gform-field-label'  >a) Type of Funding:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_217_146'>\n\t\t\t<li class='gchoice gchoice_217_146_0'>\n\t\t\t\t<input name='input_146' type='radio' value='Government'  id='choice_217_146_0'    \/>\n\t\t\t\t<label for='choice_217_146_0' id='label_217_146_0' class='gform-field-label gform-field-label--type-inline'>Government<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_217_146_1'>\n\t\t\t\t<input name='input_146' type='radio' value='Start-up\/Discretionary (Internal)'  id='choice_217_146_1'    \/>\n\t\t\t\t<label for='choice_217_146_1' id='label_217_146_1' class='gform-field-label gform-field-label--type-inline'>Start-up\/Discretionary (Internal)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_217_146_2'>\n\t\t\t\t<input name='input_146' type='radio' value='gf_other_choice'  id='choice_217_146_2'   onfocus=\"jQuery(this).next('input').focus();\" \/>\n\t\t\t\t<input class='small' id='input_217_146_other' name='input_146_other' type='text' value='Other' aria-label='Other' onfocus='jQuery(this).prev(\"input\")[0].click(); if(jQuery(this).val() == \"Other\") { jQuery(this).val(\"\"); }' onblur='if(jQuery(this).val().replace(\" \", \"\") == \"\") { jQuery(this).val(\"Other\"); }'   \/>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_217_111\"  class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_217_111\"><label class='gfield_label gform-field-label' for='input_217_111' >b) Award #:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_111' id='input_217_111' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_217_147\"  class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_217_147\"><label class='gfield_label gform-field-label' for='input_217_147' >c) Title:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_147' id='input_217_147' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_217_148\"  class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_217_148\"><label class='gfield_label gform-field-label' for='input_217_148' >d) Sponsor:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_148' id='input_217_148' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_217_110\"  class=\"gfield gfield--type-section gsection field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_217_110\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_217_119\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gf_list_5col gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_217_119\"><label class='gfield_label gform-field-label'  >13. Will any training be required for the operation of the Equipment?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_217_119'>\n\t\t\t<li class='gchoice gchoice_217_119_0'>\n\t\t\t\t<input name='input_119' type='radio' value='Yes'  id='choice_217_119_0'    \/>\n\t\t\t\t<label for='choice_217_119_0' id='label_217_119_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_217_119_1'>\n\t\t\t\t<input name='input_119' type='radio' value='No'  id='choice_217_119_1'    \/>\n\t\t\t\t<label for='choice_217_119_1' id='label_217_119_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_217_149\"  class=\"gfield gfield--type-section gsection field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_217_149\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_217_70\"  class=\"gfield gfield--type-text gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_217_70\"><label class='gfield_label gform-field-label' for='input_217_70' >14. What type of maintenance from the Provider do you expect to receive, if any, for the Equipment?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_70' id='input_217_70' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_217_101\"  class=\"gfield gfield--type-section gsection field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_217_101\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_217_120\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gf_list_5col gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_217_120\"><label class='gfield_label gform-field-label'  >15. Will the Equipment be used in conjunction with other materials obtained under other agreements with parties other than the Provider?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_217_120'>\n\t\t\t<li class='gchoice gchoice_217_120_0'>\n\t\t\t\t<input name='input_120' type='radio' value='Yes'  id='choice_217_120_0'    \/>\n\t\t\t\t<label for='choice_217_120_0' id='label_217_120_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_217_120_1'>\n\t\t\t\t<input name='input_120' type='radio' value='No'  id='choice_217_120_1'    \/>\n\t\t\t\t<label for='choice_217_120_1' id='label_217_120_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_217_102\"  class=\"gfield gfield--type-section gsection field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_217_102\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_217_150\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gf_list_5col gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_217_150\"><label class='gfield_label gform-field-label'  >16. Is the Equipment otherwise commercially available for purchase?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_217_150'>\n\t\t\t<li class='gchoice gchoice_217_150_0'>\n\t\t\t\t<input name='input_150' type='radio' value='Yes'  id='choice_217_150_0'    \/>\n\t\t\t\t<label for='choice_217_150_0' id='label_217_150_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_217_150_1'>\n\t\t\t\t<input name='input_150' type='radio' value='No'  id='choice_217_150_1'    \/>\n\t\t\t\t<label for='choice_217_150_1' id='label_217_150_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_217_152\"  class=\"gfield gfield--type-section gsection field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_217_152\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_217_151\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gf_list_5col gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_217_151\"><label class='gfield_label gform-field-label'  >17. Do you anticipate RECEIVING any Confidential Information as a part of this Equipment loan?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_217_151'>\n\t\t\t<li class='gchoice gchoice_217_151_0'>\n\t\t\t\t<input name='input_151' type='radio' value='Yes'  id='choice_217_151_0'    \/>\n\t\t\t\t<label for='choice_217_151_0' id='label_217_151_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_217_151_1'>\n\t\t\t\t<input name='input_151' type='radio' value='No'  id='choice_217_151_1'    \/>\n\t\t\t\t<label for='choice_217_151_1' id='label_217_151_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_217_153\"  class=\"gfield gfield--type-section gsection field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_217_153\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_217_154\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gf_list_5col gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_217_154\"><label class='gfield_label gform-field-label'  >18. Do you anticipate SENDING any Confidential Information as a part of this Equipment loan?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_217_154'>\n\t\t\t<li class='gchoice gchoice_217_154_0'>\n\t\t\t\t<input name='input_154' type='radio' value='Yes'  id='choice_217_154_0'    \/>\n\t\t\t\t<label for='choice_217_154_0' id='label_217_154_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_217_154_1'>\n\t\t\t\t<input name='input_154' type='radio' value='No'  id='choice_217_154_1'    \/>\n\t\t\t\t<label for='choice_217_154_1' id='label_217_154_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_217_155\"  class=\"gfield gfield--type-section gsection field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_217_155\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_217_156\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gf_list_5col gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_217_156\"><label class='gfield_label gform-field-label'  >19. Under this Equipment Loan Agreement, do you anticipate that any inventions will be developed by you from the use of the loaned Equipment?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_217_156'>\n\t\t\t<li class='gchoice gchoice_217_156_0'>\n\t\t\t\t<input name='input_156' type='radio' value='Yes'  id='choice_217_156_0'    \/>\n\t\t\t\t<label for='choice_217_156_0' id='label_217_156_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_217_156_1'>\n\t\t\t\t<input name='input_156' type='radio' value='No'  id='choice_217_156_1'    \/>\n\t\t\t\t<label for='choice_217_156_1' id='label_217_156_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_217_156_2'>\n\t\t\t\t<input name='input_156' type='radio' value='I don&#039;t know'  id='choice_217_156_2'    \/>\n\t\t\t\t<label for='choice_217_156_2' id='label_217_156_2' class='gform-field-label gform-field-label--type-inline'>I don't know<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_217_159\"  class=\"gfield gfield--type-section gsection field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_217_159\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_217_158\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gf_list_5col gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_217_158\"><label class='gfield_label gform-field-label'  >20. Do you plan to publish the results of the research using the loaned Equipment?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_217_158'>\n\t\t\t<li class='gchoice gchoice_217_158_0'>\n\t\t\t\t<input name='input_158' type='radio' value='Yes'  id='choice_217_158_0'    \/>\n\t\t\t\t<label for='choice_217_158_0' id='label_217_158_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_217_158_1'>\n\t\t\t\t<input name='input_158' type='radio' value='No'  id='choice_217_158_1'    \/>\n\t\t\t\t<label for='choice_217_158_1' id='label_217_158_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_217_158_2'>\n\t\t\t\t<input name='input_158' type='radio' value='I don&#039;t know'  id='choice_217_158_2'    \/>\n\t\t\t\t<label for='choice_217_158_2' id='label_217_158_2' class='gform-field-label gform-field-label--type-inline'>I don't know<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_217_163\"  class=\"gfield gfield--type-section gsection field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_217_163\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_217_162\"  class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_217_162\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >21. Does the sponsor indicate that any of the following restrictions or limitations will be applied to your activities using the Equipment under this agreement? Please check all that apply.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_217_162'><li class='gchoice gchoice_217_162_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_162.1' type='checkbox'  value='Not Applicable'  id='choice_217_162_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_217_162_1' id='label_217_162_1' class='gform-field-label gform-field-label--type-inline'>Not Applicable<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_217_162_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_162.2' type='checkbox'  value='Prior approval for dissemination\/publications'  id='choice_217_162_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_217_162_2' id='label_217_162_2' class='gform-field-label gform-field-label--type-inline'>Prior approval for dissemination\/publications<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_217_162_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_162.3' type='checkbox'  value='Restrictions on access or participation by foreign nationals'  id='choice_217_162_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_217_162_3' id='label_217_162_3' class='gform-field-label gform-field-label--type-inline'>Restrictions on access or participation by foreign nationals<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_217_162_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_162.4' type='checkbox'  value='Export control restrictions [International Traffic Arms Regulations (ITAR), Export Administration Regulations (EAR), Nuclear Regulations]'  id='choice_217_162_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_217_162_4' id='label_217_162_4' class='gform-field-label gform-field-label--type-inline'>Export control restrictions [International Traffic Arms Regulations (ITAR), Export Administration Regulations (EAR), Nuclear Regulations]<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_217_162_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_162.5' type='checkbox'  value='I don&#039;t know'  id='choice_217_162_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_217_162_5' id='label_217_162_5' class='gform-field-label gform-field-label--type-inline'>I don't know<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_217_164\"  class=\"gfield gfield--type-section gsection field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_217_164\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_217_76\"  class=\"gfield gfield--type-section gsection field_sublabel_above gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_217_76\"><h2 class=\"gsection_title\">Principal Investigator Certification:<\/h2><div class='gsection_description' id='gfield_description_217_76'>I certify that the information I have provided about this project is accurate. Furthermore, I certify that I will direct this project in compliance with BU\/BMC policies, with the terms and conditions of the resulting MTA, and with all applicable laws and regulations.<\/div><\/li><li id=\"field_217_77\"  class=\"gfield gfield--type-text gfield_contains_required field_sublabel_above gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_217_77\"><label class='gfield_label gform-field-label' for='input_217_77' >Signature:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_217_77'>You may sign this form using S-signature format \ne.g., \/John Q. Doe\/\n<\/div><div class='ginput_container ginput_container_text'><input name='input_77' id='input_217_77' type='text' value='' class='medium'  aria-describedby=\"gfield_description_217_77\"   aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_217_78\"  class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_217_78\"><label class='gfield_label gform-field-label' for='input_217_78' >Date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_78' id='input_217_78' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_217_78_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_217_78_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_217_78' class='gform_hidden' value='https:\/\/www.bu.edu\/research\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_217_79\"  class=\"gfield gfield--type-fileupload field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_217_79\"><label class='gfield_label gform-field-label' for='gform_browse_button_217_79' >Upload any relevant documentation (e.g., draft agreement from external party, IRB approval letter, emails regarding MATERIAL or RECIPIENT, etc.) here:<\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_217_79' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_217_79&quot;,&quot;container&quot;:&quot;gform_multifile_upload_217_79&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_217_79&quot;,&quot;filelist&quot;:&quot;gform_preview_217_79&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.bu.edu\\\/research\\\/?gf_page=8dc2119f6bced5e&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.bu.edu\\\/research\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.bu.edu\\\/research\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Allowed Files&quot;,&quot;extensions&quot;:&quot;msg,txt,pdf,doc,docx,xls,xlsx&quot;}],&quot;max_file_size&quot;:&quot;104857600b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:217,&quot;field_id&quot;:79},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_217_79&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_217_79' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>Drop files here or <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_217_79' class='button gform_button_select_files' aria-describedby=\"gfield_upload_rules_217_79\"  >Select files<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_217_79'>Accepted file types: msg, txt, pdf, doc, docx, xls, xlsx, Max. file size: 100 MB.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_217_79'><\/ul> <!-- Leave <ul> empty to support CSS :empty selector. --><\/div><div id='gform_preview_217_79' class='ginput_preview_list'><\/div><\/li><li id=\"field_217_80\"  class=\"gfield gfield--type-captcha field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_217_80\"><label class='gfield_label gform-field-label' for='input_217_80' >CAPTCHA<\/label><div id='input_217_80' class='ginput_container ginput_recaptcha' data-sitekey='6LenrP4SAAAAAOe65iTh7DJHakQcs96CHrr3owoy'  data-theme='light' data-tabindex='0'  data-badge=''><\/div><\/li><li id=\"field_217_167\"  class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_above gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_217_167\"><label class='gfield_label gform-field-label' for='input_217_167' >Name<\/label><div class='gfield_description' id='gfield_description_217_167'>This field is for validation purposes and should be left unchanged.<\/div><div class='ginput_container'><input name='input_167' id='input_217_167' type='text' value='' \/><\/div><\/li><\/ul><\/div>\n        <div class='gform_footer top_label'> <input type='submit' id='gform_submit_button_217' class='gform_button button' value='Submit'  onclick='if(window[\"gf_submitting_217\"]){return 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