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Toad Dissection for Years 8 to 10 - Education Queensland

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Schools Repeating Application Form <strong>for</strong> <strong>Toad</strong> <strong>Dissection</strong> 1/<strong>10</strong>/20<strong>10</strong><br />

Approval: Activity Continuous EDUCATION QUEENSLAND<br />

APPENDIX F<br />

QUEENSLAND SCHOOLS ANIMAL ETHICS COMMITTEE<br />

Approved Animal Use Activity Completion Report<br />

2011<br />

Once a copy of page 5, 1.6 Declaration of this <strong>Toad</strong> <strong>Dissection</strong> Application has been faxed <strong>to</strong><br />

the <strong>Education</strong> <strong>Queensland</strong> Animal Ethics Officer, your school has approval from the<br />

<strong>Queensland</strong> Schools Animal Ethics Committee (QSAEC) <strong>to</strong> undertake:<br />

<strong>Toad</strong> <strong>Dissection</strong> with students from <strong>Years</strong> 8 <strong>to</strong> <strong>10</strong>.<br />

As part of the QSAEC Application Approval requirements, YOUR SCHOOL MUST REPORT<br />

EACH YEAR <strong>to</strong> the QSAEC once the approved animal use activity has been completed.<br />

Simply fill in this <strong>for</strong>m on completion of the approved <strong>Toad</strong> <strong>Dissection</strong> activity and email, fax or<br />

post it <strong>to</strong>:<br />

Animal Ethics Officer<br />

<strong>Education</strong> House<br />

PO Box 15033, CITY EAST Q 4002<br />

Email: mark.mccosker@qed.qld.gov.au<br />

Fax: (07) 3235 4379<br />

When this Report is received by the Animal Ethics Officer it will be presented at the next QSAEC Meeting where it will<br />

be signed by the QSAEC Chairperson and filed.<br />

School Name:<br />

School Postal Address:<br />

Activity Leader’s Name:<br />

Position in this school:<br />

Phone: Fax:<br />

Email:<br />

Title of this Activity: <strong>Toad</strong> <strong>Dissection</strong><br />

DPI&F Registration Number: <strong>10</strong>2<br />

Approved Activity Number: 02 / 20<strong>10</strong>/ EQ<br />

P/code<br />

Was <strong>Toad</strong> <strong>Dissection</strong> undertaken as part of your school’s Science program in 2011?<br />

With what Year Levels?<br />

YES NO<br />

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