Addgene MTA Form
Brief Summary of MTA Addgene Request
(required)
Department
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Other
Academic Affairs
Academic Enrichment Programs
Anesthesiology
Animal Care Program
Anthropology
Auxiliary And Plant Services
Biocircuits Institute
Bioengineering
Biological Sciences
Biomedical Sciences Program
Birch Aquarium At Scripps
California Student Opportunity And Access Program
Carta - Center For Acad Res & Training In Anthropogeny
Cell And Developmental Biology
Cellular And Molecular Medicine
Center For Astrophysics And Space Sciences
Center For Circadian Biology
Center For Comparative Immigration Studies
Center For Energy Research
Center For Human Development
Center For Iberian And Latin American Studies
Center For Marine Biotechnology And Biomedicine
Center For Memory And Recording Research
Center For Research In Biological Structure
Center For Research In Biological Systems
Center For Research In Computing And The Arts
Center For Research In Language
Center On Global Justice
Chemistry And Biochemistry
Climate, Atmospheric Science And Physical Oceanography
Clinical And Translational Research Institute
Cntr For Investigations Of Health And Education Disparities
Cognitive Science
Communication
Computer Science And Engineering
Coop Inst Mar Ecosyst/Climate
Counseling And Psychological Services
Ctr For Rsrch On Eductnl Equity, Asesmt And Teaching Excllnc
Dean Of Arts And Humanities
Dean Of Physical Sciences
Dermatology
Early Childhood Education Center
Early Outreach
Ecology, Behavior And Evolution
Economics
Education Studies
Eleanor Roosevelt College - Provost
Electrical And Computer Engineering
Emergency Medicine
Enrollment Management
Environmental Health And Safety
Ethnic Studies
Extended Studies And Public Programs
Family Medicine And Public Health
Financial Aid Office
Food And Fuel For The 21st Century
Geisel Library
Geosciences Research Division
Graduate Division
History
Iem/Hs Institute Of Engineering Medicine/Hs
Information Technology Services
Institute For Genomic Medicine
Institute For International, Comparative And Area Studies
Institute For Neural Computation
Institute For Pure And Applied Physical Sciences
Institute Of Arts And Humanities
Institute Of Engineering In Medicine
Institute Of Geophysics And Planetary Physics
Institute On Global Conflict And Cooperation
Integrative Oceanography Division
Jacobs School Of Engineering
Kavli Institute For Brain And Mind
Linguistics
Literature
Marine Biology Research Division
Marine Physical Laboratory
Marine Science Development Shop
Mathematics
Mechanical And Aerospace Engineering
Medical Education
Medicine
Molecular Biology
Moores Cancer Center
Music
Nanoengineering
Neurobiology
Neurosciences
Obstetrics, Gynecology, And Reproductive Sciences
Office For Academic Support And Instructional Services
Office Of Innovation And Commercialization
Ophthalmology
Orthopaedic Surgery
Pathology
Pediatrics
Pharmacology
Philosophy
Physics
Political Science
Psychiatry
Psychology
Qualcomm Institute - Cal Inst For Telecom And Info Tech
Radiation Medicine And Applied Sciences
Radiology
Rady School Of Management
Research
Resource Management And Planning
San Diego Supercomputer Center
School Of Global Policy And Strategy
School Of Medicine - Admissions And Student Affairs
School Of Medicine - Graduate Programs
School Of Medicine - Office Of The Dean
Scripps Institution Of Oceanography - Department
Scripps Institution Of Oceanography - Director'S Office
Sea Grant College
Shipboard Technical Support
Skaggs School Of Pharmacy And Pharmaceutical Sciences
Sociology
Sports Facilities
Stein Institute For Research On Aging
Stem Cell Program
Structural Engineering
Student Educational Advancement
Student Health Services
Surgery
Teaching And Learning Commons
The Preuss School
Trio Outreach Programs - Student Affairs
Urology
Vice Chancellor And Chief Financial Officer
Vice Chancellor For Equity, Diversity, And Inclusion
Visual Arts
Conflict of Interest
Export Control
OCGA
VC Research
Government Research Relations
Campus Budget Office
OPAFS
UCOP (Univ of California Office of the President)
Advancement and Development
Office of Ethics & Compliance
PI Name
(required)
The UCSD PI responsible for this material and this transfer
PI Email
(required)
Point of Contact Name
(required)
Your name (if you are the PI, put "PI")
Point of Contact Email
(required)
Your email (if you are the PI, put "PI)
Does your request include a biological material that contains a prohibited pathogen, toxin or select agent?
(required)
Yes
No
See the ECCN 1C351 list to make this determination: https://blink.ucsd.edu/sponsor/exportcontrol/Export-Restricted-Biologicals.pdf If you answer yes to this question, please also contact Export Control at export@ucsd.edu
Addgene Order Number
(required)
Please enter the 6-digit Addgene order number (not the catalog number)
Material/Plasmid Name(s)
(required)
Identify the specific name of the material/plasmid. Please include a list of all plasmids on this order (this will ensure that all appropriate MTA(s) are completed.
Project Description/Statement of Work
(required)
Provide a concise scientific description (SOW) of your use of the material.
Will the material be combined or used with other material obtained under a previous agreement?
(required)
Yes
No
If Yes, please explain
What is the funding source and the Oracle Project number for the funds supporting the research using this Material?
(required)
Ex. “NIH, Oracle Project# 1234567”. Note: This information is required to ensure the research is free from conflicting obligations – this number will NOT be charged.
Additional Comments/Notes