accreditation program

Accreditation Application

Please complete this form in English and submit it with your Program Description.

NOTE: All submissions are final. After you "Submit" your application (using the blue button at the bottom of the page) you will no longer have access to it.

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Institution Information

Institution/Company Applying

Parent Organization (if different from above)

Physical Address

Type of Institution/Company

Animal Producer

Contract Research Organization

Government Agency/Organization

Hospital

Nonprofit Research Organization

Pharmaceutical Organization

University

Veterans Affairs Medical Center

Other

AAALAC International Contact/Correspondent

Contact Information: Applicant certifies that this information is accurate and releases the officers and agents of AAALAC International from liability as a consequence of this accreditation application and/or site visit of the animal care and use program and facility except as expressly provided in the Bylaws.

Full Name

Degrees/Certifications (if any)

Position/Title

Institution/Company Name

Address

Cell/Mobile

Fax

Responsible Institutional Official/License Holder

Full Name

Degrees/Certifications (if any)

Position/Title

Institution/Company Name

Address

Cell/Mobile

Fax

Attending/Named Veterinarian

Full Name

Degrees/Certifications (if any)

Position/Title

Institution/Company Name

Address

Cell/Mobile

Fax

IACUC/EC/ACC Chair

Full Name

Degrees/Certifications (if any)

Position/Title

Institution/Company Name

Address

Cell/Mobile

Fax

Required Documentation

You must attach the completed Program Description for your Institution/Company. A template is available here. Once completed, please upload the file below.

Program Description

Form Submission

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