Youth in Labs Form

All programs involving youth in labs must be registered with the UNT Youth Protection Program as required by the 04.025 UNT Policy.

Programs must register at least 14 days prior to the start of the program/activity or as soon as possible.

This online form must be used to register each program offered or sponsored by the college, department or organization. If you have any questions, please contact the UNT Youth Protection Program at (940) 565-2813 or YouthProtection@unt.edu

Principal Investigator's Name *

Principal Investigator's Department *

Principal Investigator's Email *

Principal Investigator's Phone # *

Please list the name(s) and age(s) of the individual(s) participating *

Name of Project *

Project Start Date *

Month

Day

Year

Project End Date *

Month

Day

Year

Location (Building) *

Room(s) # *

Please Select Applicable Materials & Equipment to be used

Chemicals (Flammable, Reactive, Cacinogenic, Toxic, Corrosive, Oxidizer, Cryogen, Pharmaceuticals, Gasses, etc.)

Biological Materials (Bacteria, Viruses, Fungi, Parasites, Human Source Material, Insects, Plants, Animals, etc.)

Equipment (Fume Hood, Biosafety Cabinet, Laminar Clean Bench, Autoclave, Centrifuge, Analytical Instruments, Industrial Machinery, Noise Producing Equip., etc.)

UNT Youth Protection Program

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