{"id":8258,"date":"2016-12-14T10:03:30","date_gmt":"2016-12-14T15:03:30","guid":{"rendered":"https:\/\/www.bu.edu\/research\/?post_type=forms-policies&#038;p=8258"},"modified":"2026-05-11T10:58:35","modified_gmt":"2026-05-11T14:58:35","slug":"material-transfer-agreement-mta-request-incoming-mtas","status":"publish","type":"forms-policies","link":"https:\/\/www.bu.edu\/research\/forms-policies\/material-transfer-agreement-mta-request-incoming-mtas\/","title":{"rendered":"Material Transfer Agreement (MTA) Request: Incoming MTAs"},"content":{"rendered":"<h2 id=\"instructions\">Instructions<\/h2>\n<ul>\n<li>This is a smart form and must be filled out electronically.<\/li>\n<li>Please complete the information and questionnaire below. Optional fields are marked. All other fields are required.<\/li>\n<li>Clicking &#8220;yes&#8221; on some check boxes will display additional mandatory fields to be completed.<\/li>\n<li>You can save a copy of the form at any time using the <em>Save<\/em> button and complete the form at a later time.<\/li>\n<li>Submit the form by clicking the <em>Submit<\/em> button and following the prompts. This will send a copy of the form to Corporate Research &amp; Contracting via your normal email. Please note, the submit process will not work until all required fields are filled out.<\/li>\n<li>Corporate Research &amp; Contracting will confirm receipt and review the form and initiate the agreement review process. Please contact <a href=\"mailto:industry@bu.edu\">industry@bu.edu<\/a> if you do not receive a confirmation within three business days).<\/li>\n<li><strong>First time here?<\/strong> <a href=\"https:\/\/www.bu.edu\/research\/collaboration-partnership\/industry-collaboration\/material-transfer-agreements\/\">Learn more<\/a> about MTAs and how to use this form.<\/li>\n<\/ul>\n<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_222' style='display:none'>\n                        <div class='gform_heading'>\n                            <h3 class=\"gform_title\">Incoming MTA Form<\/h3>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_222'  action='\/research\/wp-json\/wp\/v2\/forms-policies\/8258' data-formid='222' >\n                        <div class='gform-body gform_body'><ul id='gform_fields_222' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_222_134\"  class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_134\"><strong>1. BU PI Information:<\/strong><\/li><li id=\"field_222_59\"  class=\"gfield gfield--type-text gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_222_59\"><label class='gfield_label gform-field-label' for='input_222_59' >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_59' id='input_222_59' type='text' value='' class='medium'    placeholder='Name' aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_222_66\"  class=\"gfield gfield--type-text gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_66\"><label class='gfield_label gform-field-label' for='input_222_66' >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_66' id='input_222_66' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_222_4\"  class=\"gfield gfield--type-phone gf_left_third gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_4\"><label class='gfield_label gform-field-label' for='input_222_4' >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_4' id='input_222_4' type='text' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_222_2\"  class=\"gfield gfield--type-email gf_right_third gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_2\"><label class='gfield_label gform-field-label' for='input_222_2' >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_2' id='input_222_2' type='text' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_222_127\"  class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_222_127\"><label class='gfield_label gform-field-label' for='input_222_127' >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_222_127'>(Include room, street, and ZIP code.)<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_127' id='input_222_127' class='textarea small'  aria-describedby=\"gfield_description_222_127\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_222_128\"  class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--no-description field_description_below hidden_label gfield_visibility_visible\"  data-js-reload=\"field_222_128\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >(optional) Check here if to specify an alternate BU contact beside the PI<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_222_128'><li class='gchoice gchoice_222_128_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_128.1' type='checkbox'  value='(optional) Check here if to specify an alternate BU contact besides the PI.'  id='choice_222_128_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_222_128_1' id='label_222_128_1' class='gform-field-label gform-field-label--type-inline'>(optional) Check here if to specify an alternate BU contact besides the PI.<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_222_129\"  class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_129\"><label class='gfield_label gform-field-label' for='input_222_129' >Alternate BU Contact Name and Email<\/label><div class='ginput_container ginput_container_text'><input name='input_129' id='input_222_129' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_222_155\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_155\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_222_123\"  class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_123\"><strong>2. External Party Information:<\/strong><\/li><li id=\"field_222_17\"  class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_17\"><label class='gfield_label gform-field-label' for='input_222_17' >External Party Material Provider\/Institution:<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_222_17' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_222_60\"  class=\"gfield gfield--type-text gf_left_third gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_60\"><label class='gfield_label gform-field-label' for='input_222_60' >External Party Provider PI:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_60' id='input_222_60' type='text' value='' class='medium'    placeholder='Name' aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_222_142\"  class=\"gfield gfield--type-text gfield--width-full gf_left_third field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_142\"><label class='gfield_label gform-field-label' for='input_222_142' >External Party Administrative Contact (if known):<\/label><div class='ginput_container ginput_container_text'><input name='input_142' id='input_222_142' type='text' value='' class='medium'    placeholder='Name'  aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_222_132\"  class=\"gfield gfield--type-phone gf_middle_third gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_132\"><label class='gfield_label gform-field-label' for='input_222_132' >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_132' id='input_222_132' type='text' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_222_131\"  class=\"gfield gfield--type-text gf_right_third gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_131\"><label class='gfield_label gform-field-label' for='input_222_131' >External Party Email(s)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_131' id='input_222_131' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_222_149\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_149\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_222_177\"  class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_177\"><label class='gfield_label gform-field-label' for='input_222_177' >3. Identification and Description of the Material 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_177' id='input_222_177' class='textarea medium'  aria-describedby=\"gfield_description_222_177\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_222_177'>Please include the title or a brief description of the related research.<\/div><\/li><li id=\"field_222_150\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_150\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_222_71\"  class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_71\"><label class='gfield_label gform-field-label' for='input_222_71' >4. Description of Research to be conducted at BU with the Material:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_71' id='input_222_71' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_222_143\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_143\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_222_156\"  class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_156\"><strong>5. BU-Owned Spaces:<\/strong><\/li><li id=\"field_222_96\"  class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_222_96\"><label class='gfield_label gform-field-label'  >a) Is your research with the requested Material being conducted in BU-owned space?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_222_96'>If in BMC-owned space, the MTA should be sent to the BMC Grants Office: <a href=\"https:\/\/www.bmc.org\/research-operations\">https:\/\/www.bmc.org\/research-operations<\/a><\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_222_96'>\n\t\t\t<li class='gchoice gchoice_222_96_0'>\n\t\t\t\t<input name='input_96' type='radio' value='Yes'  id='choice_222_96_0'    \/>\n\t\t\t\t<label for='choice_222_96_0' id='label_222_96_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_222_96_1'>\n\t\t\t\t<input name='input_96' type='radio' value='No'  id='choice_222_96_1'    \/>\n\t\t\t\t<label for='choice_222_96_1' id='label_222_96_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_222_144\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_144\"><label class='gfield_label gform-field-label'  >b) Is this location within the National Emerging Infectious Diseases Laboratory (NEIDL)?<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_222_144'>\n\t\t\t<li class='gchoice gchoice_222_144_0'>\n\t\t\t\t<input name='input_144' type='radio' value='Yes'  id='choice_222_144_0'    \/>\n\t\t\t\t<label for='choice_222_144_0' id='label_222_144_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_222_144_1'>\n\t\t\t\t<input name='input_144' type='radio' value='No'  id='choice_222_144_1'    \/>\n\t\t\t\t<label for='choice_222_144_1' id='label_222_144_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_222_185\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_185\"><label class='gfield_label gform-field-label'  >c) Is this material coming from OUTSIDE the U.S.?<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_222_185'>\n\t\t\t<li class='gchoice gchoice_222_185_0'>\n\t\t\t\t<input name='input_185' type='radio' value='Yes'  id='choice_222_185_0'    \/>\n\t\t\t\t<label for='choice_222_185_0' id='label_222_185_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_222_185_1'>\n\t\t\t\t<input name='input_185' type='radio' value='No'  id='choice_222_185_1'    \/>\n\t\t\t\t<label for='choice_222_185_1' id='label_222_185_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_222_186\"  class=\"gfield gfield--type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_186\"><label class='gfield_label gform-field-label' for='input_222_186' >d) Where is the material coming from?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_186' id='input_222_186' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cabo Verde' >Cabo Verde<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czechia' >Czechia<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' >Ireland<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Korea, Democratic People&#039;s Republic of<\/option><option value='Korea, Republic of' >Korea, Republic of<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='North Macedonia' >North Macedonia<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russian Federation' >Russian Federation<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands<\/option><option value='South Sudan' >South Sudan<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria Arab Republic' >Syria Arab Republic<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >T\u00fcrkiye<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' >United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Viet Nam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='Western Sahara' >Western Sahara<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c5land Islands' >\u00c5land Islands<\/option><\/select><\/div><\/li><li id=\"field_222_148\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_148\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_222_184\"  class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_184\"><strong>6. Research Location:<\/strong><\/li><li id=\"field_222_139\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_139\"><label class='gfield_label gform-field-label'  >a) Will Research conducted using Material occur at a different location than lab address?<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_222_139'>\n\t\t\t<li class='gchoice gchoice_222_139_0'>\n\t\t\t\t<input name='input_139' type='radio' value='Yes'  id='choice_222_139_0'    \/>\n\t\t\t\t<label for='choice_222_139_0' id='label_222_139_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_222_139_1'>\n\t\t\t\t<input name='input_139' type='radio' value='No'  id='choice_222_139_1'    \/>\n\t\t\t\t<label for='choice_222_139_1' id='label_222_139_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_222_70\"  class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_222_70\"><label class='gfield_label gform-field-label' for='input_222_70' >b) BU location of where Research using Material will be conducted (if different from lab address):<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_222_70'>(Include room, street, and ZIP code.)<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_70' id='input_222_70' class='textarea small'  aria-describedby=\"gfield_description_222_70\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_222_145\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_145\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_222_157\"  class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_157\"><strong>7. Animal Information:<\/strong><\/li><li id=\"field_222_97\"  class=\"gfield gfield--type-radio gfield--type-choice gf_left_third gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_97\"><label class='gfield_label gform-field-label'  >a. Will you be using the Material in 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_222_97'>\n\t\t\t<li class='gchoice gchoice_222_97_0'>\n\t\t\t\t<input name='input_97' type='radio' value='Yes'  id='choice_222_97_0'    \/>\n\t\t\t\t<label for='choice_222_97_0' id='label_222_97_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_222_97_1'>\n\t\t\t\t<input name='input_97' type='radio' value='No'  id='choice_222_97_1'    \/>\n\t\t\t\t<label for='choice_222_97_1' id='label_222_97_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_222_181\"  class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_181\"><label class='gfield_label gform-field-label' for='input_222_181' >Please provide your IACUC protocol number:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_181' id='input_222_181' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_222_113\"  class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_113\"><label class='gfield_label gform-field-label'  >b. Will you be receiving live animals as a part of this transfer?<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_222_113'>\n\t\t\t<li class='gchoice gchoice_222_113_0'>\n\t\t\t\t<input name='input_113' type='radio' value='Yes'  id='choice_222_113_0'    \/>\n\t\t\t\t<label for='choice_222_113_0' id='label_222_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_222_113_1'>\n\t\t\t\t<input name='input_113' type='radio' value='No'  id='choice_222_113_1'    \/>\n\t\t\t\t<label for='choice_222_113_1' id='label_222_113_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_222_182\"  class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_182\"><label class='gfield_label gform-field-label' for='input_222_182' >Please provide your IACUC protocol number:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_182' id='input_222_182' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_222_146\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_146\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_222_98\"  class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_98\"><label class='gfield_label gform-field-label'  >8. Is the Material to be used in living persons?  If YES, research is not permitted under MTAs.<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_222_98'>\n\t\t\t<li class='gchoice gchoice_222_98_0'>\n\t\t\t\t<input name='input_98' type='radio' value='Yes'  id='choice_222_98_0'    \/>\n\t\t\t\t<label for='choice_222_98_0' id='label_222_98_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_222_98_1'>\n\t\t\t\t<input name='input_98' type='radio' value='No'  id='choice_222_98_1'    \/>\n\t\t\t\t<label for='choice_222_98_1' id='label_222_98_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_222_98'>If you intend to use the material in humans, we will reach out to you to discuss this MTA further.<\/div><\/li><li id=\"field_222_147\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_147\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_222_158\"  class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_158\"><strong>9. Human-Derived Material:<\/strong><\/li><li id=\"field_222_99\"  class=\"gfield gfield--type-radio gfield--type-choice gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_99\"><label class='gfield_label gform-field-label'  >a) Is this Material derived from humans?<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_222_99'>\n\t\t\t<li class='gchoice gchoice_222_99_0'>\n\t\t\t\t<input name='input_99' type='radio' value='Yes'  id='choice_222_99_0'    \/>\n\t\t\t\t<label for='choice_222_99_0' id='label_222_99_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_222_99_1'>\n\t\t\t\t<input name='input_99' type='radio' value='No'  id='choice_222_99_1'    \/>\n\t\t\t\t<label for='choice_222_99_1' id='label_222_99_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_222_115\"  class=\"gfield gfield--type-radio gfield--type-choice gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_115\"><label class='gfield_label gform-field-label'  >b) Has the use of this Material 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_222_115'>\n\t\t\t<li class='gchoice gchoice_222_115_0'>\n\t\t\t\t<input name='input_115' type='radio' value='Yes'  id='choice_222_115_0'    \/>\n\t\t\t\t<label for='choice_222_115_0' id='label_222_115_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_222_115_1'>\n\t\t\t\t<input name='input_115' type='radio' value='No'  id='choice_222_115_1'    \/>\n\t\t\t\t<label for='choice_222_115_1' id='label_222_115_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_222_115_2'>\n\t\t\t\t<input name='input_115' type='radio' value='N\/A'  id='choice_222_115_2'    \/>\n\t\t\t\t<label for='choice_222_115_2' id='label_222_115_2' class='gform-field-label gform-field-label--type-inline'>N\/A<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_222_151\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_151\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_222_159\"  class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_159\"><strong>10. Biohazard and Biosafety Information:<\/strong><\/li><li id=\"field_222_101\"  class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_222_101\"><label class='gfield_label gform-field-label'  >a) Is the Material biohazardous?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_222_101'>E.g. Biohazardous materials, infectious agents, select agents, human blood, tissues, cells & cell lines, etc.<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_222_101'>\n\t\t\t<li class='gchoice gchoice_222_101_0'>\n\t\t\t\t<input name='input_101' type='radio' value='Yes'  id='choice_222_101_0'    \/>\n\t\t\t\t<label for='choice_222_101_0' id='label_222_101_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_222_101_1'>\n\t\t\t\t<input name='input_101' type='radio' value='No'  id='choice_222_101_1'    \/>\n\t\t\t\t<label for='choice_222_101_1' id='label_222_101_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_222_101_2'>\n\t\t\t\t<input name='input_101' type='radio' value='Not sure'  id='choice_222_101_2'    \/>\n\t\t\t\t<label for='choice_222_101_2' id='label_222_101_2' class='gform-field-label gform-field-label--type-inline'>Not sure<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_222_126\"  class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_222_126\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >b) What is the Biosafety Level (BSL) of the Material?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_222_126'>(Check all that apply.)<\/div><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_222_126'><li class='gchoice gchoice_222_126_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_126.1' type='checkbox'  value='BSL-1'  id='choice_222_126_1'   aria-describedby=\"gfield_description_222_126\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_222_126_1' id='label_222_126_1' class='gform-field-label gform-field-label--type-inline'>BSL-1<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_222_126_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_126.2' type='checkbox'  value='BSL-2'  id='choice_222_126_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_222_126_2' id='label_222_126_2' class='gform-field-label gform-field-label--type-inline'>BSL-2<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_222_126_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_126.3' type='checkbox'  value='BSL-3'  id='choice_222_126_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_222_126_3' id='label_222_126_3' class='gform-field-label gform-field-label--type-inline'>BSL-3<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_222_126_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_126.4' type='checkbox'  value='BSL-4'  id='choice_222_126_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_222_126_4' id='label_222_126_4' class='gform-field-label gform-field-label--type-inline'>BSL-4<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_222_126_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_126.5' type='checkbox'  value='Not applicable'  id='choice_222_126_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_222_126_5' id='label_222_126_5' 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_222_126_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_126.6' type='checkbox'  value='Not sure'  id='choice_222_126_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_222_126_6' id='label_222_126_6' class='gform-field-label gform-field-label--type-inline'>Not sure<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_222_152\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_152\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_222_102\"  class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_102\"><label class='gfield_label gform-field-label'  >11. Do you have IBC approval?<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_222_102'>\n\t\t\t<li class='gchoice gchoice_222_102_0'>\n\t\t\t\t<input name='input_102' type='radio' value='Yes'  id='choice_222_102_0'    \/>\n\t\t\t\t<label for='choice_222_102_0' id='label_222_102_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_222_102_1'>\n\t\t\t\t<input name='input_102' type='radio' value='No'  id='choice_222_102_1'    \/>\n\t\t\t\t<label for='choice_222_102_1' id='label_222_102_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_222_102_2'>\n\t\t\t\t<input name='input_102' type='radio' value='Not sure'  id='choice_222_102_2'    \/>\n\t\t\t\t<label for='choice_222_102_2' id='label_222_102_2' class='gform-field-label gform-field-label--type-inline'>Not sure<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_222_183\"  class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_183\"><label class='gfield_label gform-field-label' for='input_222_183' >Please provide your IBC protocol number:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_183' id='input_222_183' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_222_154\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_154\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_222_153\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_153\"><label class='gfield_label gform-field-label'  >12. Will you be modifying the Material?<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_222_153'>\n\t\t\t<li class='gchoice gchoice_222_153_0'>\n\t\t\t\t<input name='input_153' type='radio' value='Yes'  id='choice_222_153_0'    \/>\n\t\t\t\t<label for='choice_222_153_0' id='label_222_153_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_222_153_1'>\n\t\t\t\t<input name='input_153' type='radio' value='No'  id='choice_222_153_1'    \/>\n\t\t\t\t<label for='choice_222_153_1' id='label_222_153_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_222_160\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_160\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_222_103\"  class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_103\"><label class='gfield_label gform-field-label'  >13. Will you be creating any progeny from the Material?<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_222_103'>\n\t\t\t<li class='gchoice gchoice_222_103_0'>\n\t\t\t\t<input name='input_103' type='radio' value='Yes'  id='choice_222_103_0'    \/>\n\t\t\t\t<label for='choice_222_103_0' id='label_222_103_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_222_103_1'>\n\t\t\t\t<input name='input_103' type='radio' value='No'  id='choice_222_103_1'    \/>\n\t\t\t\t<label for='choice_222_103_1' id='label_222_103_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_222_161\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_161\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_222_105\"  class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_105\"><label class='gfield_label gform-field-label'  >14. Will the Material be used in any research project that is funded by industry sponsor(s) 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_222_105'>\n\t\t\t<li class='gchoice gchoice_222_105_0'>\n\t\t\t\t<input name='input_105' type='radio' value='Yes'  id='choice_222_105_0'    \/>\n\t\t\t\t<label for='choice_222_105_0' id='label_222_105_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_222_105_1'>\n\t\t\t\t<input name='input_105' type='radio' value='No'  id='choice_222_105_1'    \/>\n\t\t\t\t<label for='choice_222_105_1' id='label_222_105_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_222_105_2'>\n\t\t\t\t<input name='input_105' type='radio' value='Not Sure'  id='choice_222_105_2'    \/>\n\t\t\t\t<label for='choice_222_105_2' id='label_222_105_2' class='gform-field-label gform-field-label--type-inline'>Not Sure<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_222_87\"  class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_87\"><label class='gfield_label gform-field-label' for='input_222_87' >If yes, please list the Sponsor(s)\/Funding Sources:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_87' id='input_222_87' class='textarea small'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_222_162\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_162\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_222_163\"  class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_163\"><strong>15. How will you fund the research to be conducted with the Material?<\/strong><\/li><li id=\"field_222_164\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_164\"><label class='gfield_label gform-field-label'  >a) Do you have funding to support this research?<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_222_164'>\n\t\t\t<li class='gchoice gchoice_222_164_0'>\n\t\t\t\t<input name='input_164' type='radio' value='Yes'  id='choice_222_164_0'    \/>\n\t\t\t\t<label for='choice_222_164_0' id='label_222_164_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_222_164_1'>\n\t\t\t\t<input name='input_164' type='radio' value='No'  id='choice_222_164_1'    \/>\n\t\t\t\t<label for='choice_222_164_1' id='label_222_164_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_222_165\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_165\"><label class='gfield_label gform-field-label'  >b) 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_222_165'>\n\t\t\t<li class='gchoice gchoice_222_165_0'>\n\t\t\t\t<input name='input_165' type='radio' value='Government'  id='choice_222_165_0'    \/>\n\t\t\t\t<label for='choice_222_165_0' id='label_222_165_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_222_165_1'>\n\t\t\t\t<input name='input_165' type='radio' value='Start-up\/Discretionary (internal)'  id='choice_222_165_1'    \/>\n\t\t\t\t<label for='choice_222_165_1' id='label_222_165_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_222_165_2'>\n\t\t\t\t<input name='input_165' type='radio' value='gf_other_choice'  id='choice_222_165_2'   onfocus=\"jQuery(this).next('input').focus();\" \/>\n\t\t\t\t<input class='small' id='input_222_165_other' name='input_165_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_222_166\"  class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_166\"><label class='gfield_label gform-field-label' for='input_222_166' >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_166' id='input_222_166' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_222_167\"  class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_167\"><label class='gfield_label gform-field-label' for='input_222_167' >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_167' id='input_222_167' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_222_168\"  class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_168\"><label class='gfield_label gform-field-label' for='input_222_168' >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_168' id='input_222_168' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_222_169\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_169\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_222_106\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_106\"><label class='gfield_label gform-field-label'  >16. Will the Materials be used with other Materials obtained under other MTAs 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_222_106'>\n\t\t\t<li class='gchoice gchoice_222_106_0'>\n\t\t\t\t<input name='input_106' type='radio' value='Yes'  id='choice_222_106_0'    \/>\n\t\t\t\t<label for='choice_222_106_0' id='label_222_106_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_222_106_1'>\n\t\t\t\t<input name='input_106' type='radio' value='No'  id='choice_222_106_1'    \/>\n\t\t\t\t<label for='choice_222_106_1' id='label_222_106_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_222_106_2'>\n\t\t\t\t<input name='input_106' type='radio' value='N\/A'  id='choice_222_106_2'    \/>\n\t\t\t\t<label for='choice_222_106_2' id='label_222_106_2' class='gform-field-label gform-field-label--type-inline'>N\/A<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_222_88\"  class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_222_88\"><label class='gfield_label gform-field-label' for='input_222_88' >If yes, please list other parties involved in this research:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_88' id='input_222_88' class='textarea small'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_222_170\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_170\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_222_108\"  class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_108\"><label class='gfield_label gform-field-label'  >17. Is the Material 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_222_108'>\n\t\t\t<li class='gchoice gchoice_222_108_0'>\n\t\t\t\t<input name='input_108' type='radio' value='Yes'  id='choice_222_108_0'    \/>\n\t\t\t\t<label for='choice_222_108_0' id='label_222_108_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_222_108_1'>\n\t\t\t\t<input name='input_108' type='radio' value='No'  id='choice_222_108_1'    \/>\n\t\t\t\t<label for='choice_222_108_1' id='label_222_108_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_222_171\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_171\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_222_172\"  class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_172\"><strong>18. Confidential Information<\/strong><\/li><li id=\"field_222_109\"  class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_109\"><label class='gfield_label gform-field-label'  >a) Do you anticipate RECEIVING any Confidential Information as a part of this transfer?<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_222_109'>\n\t\t\t<li class='gchoice gchoice_222_109_0'>\n\t\t\t\t<input name='input_109' type='radio' value='Yes'  id='choice_222_109_0'    \/>\n\t\t\t\t<label for='choice_222_109_0' id='label_222_109_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_222_109_1'>\n\t\t\t\t<input name='input_109' type='radio' value='No'  id='choice_222_109_1'    \/>\n\t\t\t\t<label for='choice_222_109_1' id='label_222_109_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_222_120\"  class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_120\"><label class='gfield_label gform-field-label'  >b) Do you anticipate SENDING any Confidential Information as a part of this transfer?<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_222_120'>\n\t\t\t<li class='gchoice gchoice_222_120_0'>\n\t\t\t\t<input name='input_120' type='radio' value='Yes'  id='choice_222_120_0'    \/>\n\t\t\t\t<label for='choice_222_120_0' id='label_222_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_222_120_1'>\n\t\t\t\t<input name='input_120' type='radio' value='No'  id='choice_222_120_1'    \/>\n\t\t\t\t<label for='choice_222_120_1' id='label_222_120_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_222_173\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_173\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_222_107\"  class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_107\"><label class='gfield_label gform-field-label'  >19. Under this MTA do you anticipate that any inventions will be developed by you from the use of the Materials?<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_222_107'>\n\t\t\t<li class='gchoice gchoice_222_107_0'>\n\t\t\t\t<input name='input_107' type='radio' value='Yes'  id='choice_222_107_0'    \/>\n\t\t\t\t<label for='choice_222_107_0' id='label_222_107_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_222_107_1'>\n\t\t\t\t<input name='input_107' type='radio' value='No'  id='choice_222_107_1'    \/>\n\t\t\t\t<label for='choice_222_107_1' id='label_222_107_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_222_174\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_174\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_222_110\"  class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_110\"><label class='gfield_label gform-field-label'  >20. Do you plan to publish the results of the research using these Materials?<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_222_110'>\n\t\t\t<li class='gchoice gchoice_222_110_0'>\n\t\t\t\t<input name='input_110' type='radio' value='Yes'  id='choice_222_110_0'    \/>\n\t\t\t\t<label for='choice_222_110_0' id='label_222_110_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_222_110_1'>\n\t\t\t\t<input name='input_110' type='radio' value='No'  id='choice_222_110_1'    \/>\n\t\t\t\t<label for='choice_222_110_1' id='label_222_110_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_222_110_2'>\n\t\t\t\t<input name='input_110' type='radio' value='Not Sure'  id='choice_222_110_2'    \/>\n\t\t\t\t<label for='choice_222_110_2' id='label_222_110_2' class='gform-field-label gform-field-label--type-inline'>Not Sure<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_222_175\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_175\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_222_121\"  class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_121\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >21. Does the Provider indicate that any of the following restrictions or limitations will be applied to your activities 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_222_121'><li class='gchoice gchoice_222_121_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_121.1' type='checkbox'  value='Not Sure'  id='choice_222_121_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_222_121_1' id='label_222_121_1' class='gform-field-label gform-field-label--type-inline'>Not Sure<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_222_121_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_121.2' type='checkbox'  value='Prior approval for dissemination\/publications'  id='choice_222_121_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_222_121_2' id='label_222_121_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_222_121_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_121.3' type='checkbox'  value='Restrictions on access or participation by foreign nationals'  id='choice_222_121_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_222_121_3' id='label_222_121_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_222_121_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_121.4' type='checkbox'  value='Export control restrictions [International Traffic Arms Regulations (ITAR), Export Administration Regulations (EAR), Nuclear Regulations]'  id='choice_222_121_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_222_121_4' id='label_222_121_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><\/ul><\/div><\/li><li id=\"field_222_176\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_176\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_222_51\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_51\"><h2 class=\"gsection_title\">Principal Investigator Certification:  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 Boston University policies, with the terms and conditions of Boston University&#039;s Material Transfer Agreement with the Provider and with all applicable laws and regulations.<\/h2><\/li><li id=\"field_222_52\"  class=\"gfield gfield--type-text gf_left_half gfield_contains_required field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_52\"><label class='gfield_label gform-field-label' for='input_222_52' >Signature:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_52' id='input_222_52' type='text' value='' class='medium'  aria-describedby=\"gfield_description_222_52\"   aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><div class='gfield_description' id='gfield_description_222_52'>You may sign this form using S-signature format .e.g. \/John Q. Doe\/<\/div><\/li><li id=\"field_222_53\"  class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_53\"><label class='gfield_label gform-field-label' for='input_222_53' >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_53' id='input_222_53' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_222_53_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_222_53_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_222_53' class='gform_hidden' value='https:\/\/www.bu.edu\/research\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_222_56\"  class=\"gfield gfield--type-fileupload field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_222_56\"><label class='gfield_label gform-field-label' for='gform_browse_button_222_56' >Upload all relevant documentation, including Word version of draft agreement from external party, IRB approval letter, etc., here:<\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_222_56' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_222_56&quot;,&quot;container&quot;:&quot;gform_multifile_upload_222_56&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_222_56&quot;,&quot;filelist&quot;:&quot;gform_preview_222_56&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;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;:222,&quot;field_id&quot;:56},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_222_56&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_222_56' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span 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