{"id":44338,"date":"2021-01-20T14:10:54","date_gmt":"2021-01-20T19:10:54","guid":{"rendered":"https:\/\/www.med.unc.edu\/mmrrc\/?page_id=44338"},"modified":"2021-01-20T14:12:57","modified_gmt":"2021-01-20T19:12:57","slug":"cryo-application","status":"publish","type":"page","link":"https:\/\/www.med.unc.edu\/mmrrc\/services\/unc-cryogenics\/cryo-application\/","title":{"rendered":"Cryo Application"},"content":{"rendered":"<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n\/* ]]> *\/\n<\/script>\n\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_5' style='display:none'><div id='gf_5' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n                            <h3 class=\"gform_title\">Cryo Application<\/h3>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_5'  action='\/mmrrc\/wp-json\/wp\/v2\/pages\/44338\/#gf_5' data-formid='5' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_page_5_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><ul id='gform_fields_5' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_5_1\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Select A Service<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_5_1'>\n\t\t\t<li class='gchoice gchoice_5_1_0'>\n\t\t\t\t<input name='input_1' type='radio' value='Sperm Cryopreservation'  id='choice_5_1_0'    \/>\n\t\t\t\t<label for='choice_5_1_0' id='label_5_1_0' class='gform-field-label gform-field-label--type-inline'>Sperm Cryopreservation<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_1_1'>\n\t\t\t\t<input name='input_1' type='radio' value='Embryo Cryopreservation'  id='choice_5_1_1'    \/>\n\t\t\t\t<label for='choice_5_1_1' id='label_5_1_1' class='gform-field-label gform-field-label--type-inline'>Embryo Cryopreservation<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_1_2'>\n\t\t\t\t<input name='input_1' type='radio' value='Sperm Cryorecovery'  id='choice_5_1_2'    \/>\n\t\t\t\t<label for='choice_5_1_2' id='label_5_1_2' class='gform-field-label gform-field-label--type-inline'>Sperm Cryorecovery<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_1_3'>\n\t\t\t\t<input name='input_1' type='radio' value='Embryo Cryorecovery'  id='choice_5_1_3'    \/>\n\t\t\t\t<label for='choice_5_1_3' id='label_5_1_3' class='gform-field-label gform-field-label--type-inline'>Embryo Cryorecovery<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_5\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Is The Strain You Would Like To Submit Published?<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_5_5'>\n\t\t\t<li class='gchoice gchoice_5_5_0'>\n\t\t\t\t<input name='input_5' type='radio' value='Yes'  id='choice_5_5_0'    \/>\n\t\t\t\t<label for='choice_5_5_0' id='label_5_5_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_5_5_1'>\n\t\t\t\t<input name='input_5' type='radio' value='No'  id='choice_5_5_1'    \/>\n\t\t\t\t<label for='choice_5_5_1' id='label_5_5_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_91\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">You answered yes - the strain is published<\/h2><div class='gsection_description' id='gfield_description_5_91'>Please visit www.mmrrc.org to apply for strain submission to our public repository.  If accepted, there will be no fee for services.  However, we will publish the strain as being available to the research community and we will take responsibility for distributing the strain to those requesting it.\n\nIt is our policy, as well as NIH\u2019s, that all published strains should be deposited in the public repository for research community use.  For strains made by investigators from other institutions but imported into UNC, we suggest that you to contact the originating investigator to encourage them to submit the strain to the public archive.  If for any reason this is not possible, we will consider archiving the strain for you in the UNC private archive.<\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_5_4' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_2' class='gform_page' data-js='page-field-id-4' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_5_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_5_7\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_5_7'>Date<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_7' id='input_5_7' type='text' value='04\/17\/2026' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_5_7_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_5_7_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_5_7' class='gform_hidden' value='https:\/\/www.med.unc.edu\/mmrrc\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_5_8\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Investigator Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_5_8'>\n                            \n                            <span id='input_5_8_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_8.3' id='input_5_8_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_5_8_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_5_8_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_8.6' id='input_5_8_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_5_8_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_5_9\" class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_9'>Investigator 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_9' id='input_5_9' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_5_10\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_10'>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_10' id='input_5_10' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_11\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Lab Contact<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_5_11'>\n                            \n                            <span id='input_5_11_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_11.3' id='input_5_11_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_5_11_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_5_11_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_11.6' id='input_5_11_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_5_11_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_5_12\" class=\"gfield gfield--type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_12'>Lab Contact 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_12' id='input_5_12' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_13\" class=\"gfield gfield--type-phone field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_13'>Lab Contact Fax<\/label><div class='ginput_container ginput_container_phone'><input name='input_13' id='input_5_13' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_14\" class=\"gfield gfield--type-email field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_14'>Lab Contact Email<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_14' id='input_5_14' type='email' value='' class='medium'     aria-invalid=\"false\"  \/>\n                        <\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_5_15' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_5_15' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_3' class='gform_page' data-js='page-field-id-15' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_5_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_5_16\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Billing Contact Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_5_16'>\n                            \n                            <span id='input_5_16_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_16.3' id='input_5_16_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_5_16_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_5_16_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_16.6' id='input_5_16_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_5_16_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_5_18\" class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_18'>Billing Contact 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_18' id='input_5_18' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_5_19\" class=\"gfield gfield--type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_19'>Billing Contact 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_19' id='input_5_19' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_20\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_20'>Campus Billing Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_20' id='input_5_20' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_21\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_21'>IACUC Protocol #<\/label><div class='ginput_container ginput_container_text'><input name='input_21' id='input_5_21' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_22\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_22'>PS Fund<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_22' id='input_5_22' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_23\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_23'>PS Source<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_23' id='input_5_23' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_25\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_25'>PS Dept<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_25' id='input_5_25' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_24\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_24'>PS Project ID<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_24' id='input_5_24' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_27\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_27'>PS PC Bus Unit<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_27' id='input_5_27' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_28\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_28'>PS PC Activity<\/label><div class='ginput_container ginput_container_text'><input name='input_28' id='input_5_28' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_29\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_29'>Account #<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_29' id='input_5_29' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='558913: Laboratory - Analytical Service' selected='selected'>558913: Laboratory - Analytical Service<\/option><option value='537210: Supplies - Educational\/Research' >537210: Supplies - Educational\/Research<\/option><\/select><\/div><\/li><li id=\"field_5_30\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_30'>Program Code<\/label><div class='ginput_container ginput_container_text'><input name='input_30' id='input_5_30' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_31\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_31'>Cost Code 1<\/label><div class='ginput_container ginput_container_text'><input name='input_31' id='input_5_31' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_32\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_32'>Cost Code 2<\/label><div class='ginput_container ginput_container_text'><input name='input_32' id='input_5_32' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_33\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_33'>Cost Code 3<\/label><div class='ginput_container ginput_container_text'><input name='input_33' id='input_5_33' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_5_34' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_5_34' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_4' class='gform_page' data-js='page-field-id-34' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_5_4' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_5_35\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_35'>Strain 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_35' id='input_5_35' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_36\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_36'>Genetic Background Strain<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_36' id='input_5_36' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_37\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_37'>Affected Gene(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_37' id='input_5_37' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_38\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_38'>Briefly Describe The Genetic Alterations<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_38' id='input_5_38' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_5_39\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_39'>Strain Development<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_39' id='input_5_39' class='textarea medium'  aria-describedby=\"gfield_description_5_39\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_5_39'>Please describe the breeding history from original mutant mouse to the current background<\/div><\/li><li id=\"field_5_40\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_40'>Briefly Describe The Phenotype Related To The Mutation<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_40' id='input_5_40' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_5_41\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Genotype<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_5_41'>\n\t\t\t<li class='gchoice gchoice_5_41_0'>\n\t\t\t\t<input name='input_41' type='radio' value='Targeted Mutation'  id='choice_5_41_0'    \/>\n\t\t\t\t<label for='choice_5_41_0' id='label_5_41_0' class='gform-field-label gform-field-label--type-inline'>Targeted Mutation<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_41_1'>\n\t\t\t\t<input name='input_41' type='radio' value='Transgenic'  id='choice_5_41_1'    \/>\n\t\t\t\t<label for='choice_5_41_1' id='label_5_41_1' class='gform-field-label gform-field-label--type-inline'>Transgenic<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_41_2'>\n\t\t\t\t<input name='input_41' type='radio' value='Induced Mutant'  id='choice_5_41_2'    \/>\n\t\t\t\t<label for='choice_5_41_2' id='label_5_41_2' class='gform-field-label gform-field-label--type-inline'>Induced Mutant<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_42\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_42'>Coat Color<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_42' id='input_5_42' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_43\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_43'>Eye Color<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_43' id='input_5_43' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_5_44' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_5_44' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_5' class='gform_page' data-js='page-field-id-44' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_5_5' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_5_45\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">General Disclaimer:<\/h2><div class='gsection_description' id='gfield_description_5_45'>It is recommended that at least 2 males (10-24 weeks of age) be submitted for sperm cryopreservation. Males need to be housed separately at least 7 days before transfer to our facility. Sperm will be cryopreserved within 2 weeks of receiving the animals. The MMRRC at UNC will cryopreserve at least 25 straws (0.25cc Cassou straws) of sperm (10uL per straw).\n\nThe MMRRC at UNC cannot make any guarantees that this procedure will be successful. Sperm cryopreservation is highly variable between strains as well as with individual mice. If the QC results are less than satisfactory, the MMRRC at UNC can repeat sperm cryo for an additional fee of $375. The MMRRC at UNC will perform Quality Control in vitro Fertilization to assess the quality of the sample. For an additional fee of $1000, the MMRRC at UNC can perform a QC IVF and transfer embryos to generate live pups. If this option is chosen and pups are born, the surrogate will be health tested.  Due to the strict health requirements of our colony, we require that every surrogate be sent to RADIL for health testing. The cost of health testing is included.  After weaning the pups, the surrogate will be sent for testing. It can take up to 3 weeks to get results back. Only after we have received the results can the pups be transferred to your colony (about 16 weeks after transfer).  If genotyping confirmation is necessary, we can take tail snips when pups are 10 days old.  Frozen tail snips will then be available for pick up by the investigator's lab.<\/div><\/li><li id=\"field_5_46\" class=\"gfield gfield--type-number gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_46'>Number Of Mice Being Submitted<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_46' id='input_5_46' type='number' step='any'   value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_5_46\" \/><\/div><div class='gfield_description' id='gfield_description_5_46'>we recommend at least 2 males<\/div><\/li><li id=\"field_5_47\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_47'>Date Of Birth<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_47' id='input_5_47' type='text' value='' class='datepicker gform-datepicker ymd_slash datepicker_with_icon gdatepicker_with_icon'   placeholder='yyyy\/mm\/dd' aria-describedby=\"input_5_47_date_format gfield_description_5_47\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_5_47_date_format' class='screen-reader-text'>YYYY slash MM slash DD<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_5_47' class='gform_hidden' value='https:\/\/www.med.unc.edu\/mmrrc\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><div class='gfield_description' id='gfield_description_5_47'>we recommend that mice be 10-24 weeks old<\/div><\/li><li id=\"field_5_48\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_48'>Genotype Of Mice Being Submitted<\/label><div class='ginput_container ginput_container_text'><input name='input_48' id='input_5_48' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_49\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_49'>Location Of Mice<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_49' id='input_5_49' type='text' value='' class='medium'  aria-describedby=\"gfield_description_5_49\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_5_49'>Building and Room #<\/div><\/li><li id=\"field_5_50\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_50'>Health Status Of Mice<\/label><div class='ginput_container ginput_container_text'><input name='input_50' id='input_5_50' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_51\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Sample Storage<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_5_51'>\n\t\t\t<li class='gchoice gchoice_5_51_0'>\n\t\t\t\t<input name='input_51' type='radio' value='MMRRC Storage: (If choosing storage at the MMRRC facility, there is a $200\/year storage fee. This fee is pro-rated for the first year and invoiced at the time of cryopreservation.)'  id='choice_5_51_0'    \/>\n\t\t\t\t<label for='choice_5_51_0' id='label_5_51_0' class='gform-field-label gform-field-label--type-inline'>MMRRC Storage: (If choosing storage at the MMRRC facility, there is a $200\/year storage fee. This fee is pro-rated for the first year and invoiced at the time of cryopreservation.)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_51_1'>\n\t\t\t\t<input name='input_51' type='radio' value='Self-Storage\/Investigator Lab: (If choosing self-storage, straws will be held at the MMRRC facility until a QC in-vitro fertilization (IVF) is performed. Investigators are responsible for collecting their sample within 30 days of the date of QC, otherwise the sample will automatically be stored with the MMRRC and the investigating lab\u2019s grant will be billed. If you leave the University without notifying us, we have the right to dispose of your samples.'  id='choice_5_51_1'    \/>\n\t\t\t\t<label for='choice_5_51_1' id='label_5_51_1' class='gform-field-label gform-field-label--type-inline'>Self-Storage\/Investigator Lab: (If choosing self-storage, straws will be held at the MMRRC facility until a QC in-vitro fertilization (IVF) is performed. Investigators are responsible for collecting their sample within 30 days of the date of QC, otherwise the sample will automatically be stored with the MMRRC and the investigating lab\u2019s grant will be billed. If you leave the University without notifying us, we have the right to dispose of your samples.<\/label>\n\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_5_51'>All samples are preserved in Cassou insemination straws and must be stored directly in liquid nitrogen or in liquid nitrogen vapor. Samples cannot be stored in any other type of freezer.<\/div><\/li><li id=\"field_5_52\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >QC Options<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_5_52'>\n\t\t\t<li class='gchoice gchoice_5_52_0'>\n\t\t\t\t<input name='input_52' type='radio' value='QC Thaw\/IVF (no charge\/included in cryo fee) - MMRRC at UNC performs a small IVF with QC straw of sperm to access quality of the sample. The fertilization rate is recorded and all embryos produced are cultured to blastocyst stage.'  id='choice_5_52_0'    \/>\n\t\t\t\t<label for='choice_5_52_0' id='label_5_52_0' class='gform-field-label gform-field-label--type-inline'>QC Thaw\/IVF (no charge\/included in cryo fee) - MMRRC at UNC performs a small IVF with QC straw of sperm to access quality of the sample. The fertilization rate is recorded and all embryos produced are cultured to blastocyst stage.<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_52_1'>\n\t\t\t\t<input name='input_52' type='radio' value='QC to pups ($1000) - MMRRC at UNC performs a small IVF with QC straw of sperm to access quality of the sample. The fertilization rate is recorded and embryos produced are transferred to a pseudo-pregnant female. If pups are born, the surrogate will be health tested after pups are weaned. Due to the strict health standards of our colony, every surrogate that births must be sent to RADIL for full health testing. Generally, it takes about 16 weeks until mice are ready to be transferred to your colony. If genotyping confirmation is necessary, we can take tail snips when the pups are 10 days old. Frozen tail snips will then be available for pick up by the investigator&#039;s lab.'  id='choice_5_52_1'    \/>\n\t\t\t\t<label for='choice_5_52_1' id='label_5_52_1' class='gform-field-label gform-field-label--type-inline'>QC to pups ($1000) - MMRRC at UNC performs a small IVF with QC straw of sperm to access quality of the sample. The fertilization rate is recorded and embryos produced are transferred to a pseudo-pregnant female. If pups are born, the surrogate will be health tested after pups are weaned. Due to the strict health standards of our colony, every surrogate that births must be sent to RADIL for full health testing. Generally, it takes about 16 weeks until mice are ready to be transferred to your colony. If genotyping confirmation is necessary, we can take tail snips when the pups are 10 days old. Frozen tail snips will then be available for pick up by the investigator's lab.<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_53\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_53'>Additional Comments<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_53' id='input_5_53' class='textarea medium'  aria-describedby=\"gfield_description_5_53\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_5_53'>Any additional information that you would like to include with this application<\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_5_54' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_5_54' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_6' class='gform_page' data-js='page-field-id-54' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_5_6' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_5_55\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Embryo Cryopreservation Service General Disclaimer<\/h2><div class='gsection_description' id='gfield_description_5_55'>It is recommended that 2 males (10-24 weeks of age) and at least 10 females (7-12 weeks of age) be submitted for embryo cryopreservation. Males need to be housed separately at least 7 days before transfer to our facility. An IVF will be done within 2 weeks of receiving the animals, and the resulting embryos will be cryopreserved. The MMRRC at UNC recommends that 150-200 embryos be cryopreserved for the proper archival of the strain. This can take multiple attempts. IVF success is highly variable and depends on the number of female mice, the quality of the sperm and the fertilization rate.\n\nThe MMRRC at UNC cannot make any guarantees that this procedure will be successful. In vitro Fertilization(IVF) and embryo cryopreservation can be highly variable between strains as well as with individual mice. The MMRRC at UNC will perform a quality control thaw by thawing a designated QC straw and culturing the embryos to blastocyst stage. For an additional fee of $1,000, the MMRRC at UNC can thaw and transfer embryos to generate live pups.  Due to the strict health requirements of our colony, we require that every surrogate be sent to RADIL for health testing. The cost of health testing is included.  After weaning the pups, the surrogate will be sent for testing. It can take up to 3 weeks to get results back. Only after we have received the results can the pups be transferred to your colony (generally takes 16 weeks).  If genotyping confirmatin is necessary, we can take tail snips when pups are 10 days old.  Frozen tail snips will then be available for pick up by the investigator's lab.<\/div><\/li><li id=\"field_5_56\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_56'>Number Of Male Mice Being Submitted<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_5_56'>We recommend at least 2 males<\/div><div class='ginput_container ginput_container_text'><input name='input_56' id='input_5_56' type='text' value='' class='medium'  aria-describedby=\"gfield_description_5_56\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_57\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_57'>Male Mice Date Of Birth<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_57' id='input_5_57' type='text' value='' class='datepicker gform-datepicker ymd_slash datepicker_with_icon gdatepicker_with_icon'   placeholder='yyyy\/mm\/dd' aria-describedby=\"input_5_57_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_5_57_date_format' class='screen-reader-text'>YYYY slash MM slash DD<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_5_57' class='gform_hidden' value='https:\/\/www.med.unc.edu\/mmrrc\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_5_58\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_58'>Genotype Of Male Mice<\/label><div class='ginput_container ginput_container_text'><input name='input_58' id='input_5_58' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_59\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_59'>Number Of Female Mice Being Submitted<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_5_59' type='text' value='' class='medium'  aria-describedby=\"gfield_description_5_59\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_5_59'>We recommend at least 10 females<\/div><\/li><li id=\"field_5_60\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_60'>Female Mice Date Of Birth<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_60' id='input_5_60' type='text' value='' class='datepicker gform-datepicker ymd_slash datepicker_with_icon gdatepicker_with_icon'   placeholder='yyyy\/mm\/dd' aria-describedby=\"input_5_60_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_5_60_date_format' class='screen-reader-text'>YYYY slash MM slash DD<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_5_60' class='gform_hidden' value='https:\/\/www.med.unc.edu\/mmrrc\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_5_61\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_61'>Genotype Of Female Mice<\/label><div class='ginput_container ginput_container_text'><input name='input_61' id='input_5_61' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_62\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_62'>Location Of Mice<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_5_62'>Building and Room #<\/div><div class='ginput_container ginput_container_text'><input name='input_62' id='input_5_62' type='text' value='' class='medium'  aria-describedby=\"gfield_description_5_62\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_63\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_63'>Health Status Of Mice<\/label><div class='ginput_container ginput_container_text'><input name='input_63' id='input_5_63' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_64\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Sample Storage<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_5_64'>\n\t\t\t<li class='gchoice gchoice_5_64_0'>\n\t\t\t\t<input name='input_64' type='radio' value='MMRRC Storage: (If choosing storage at the MMRRC facility, there is a $200\/year storage fee. This fee is pro-rated for the first year and invoiced at the time of cryopreservation.)'  id='choice_5_64_0'    \/>\n\t\t\t\t<label for='choice_5_64_0' id='label_5_64_0' class='gform-field-label gform-field-label--type-inline'>MMRRC Storage: (If choosing storage at the MMRRC facility, there is a $200\/year storage fee. This fee is pro-rated for the first year and invoiced at the time of cryopreservation.)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_64_1'>\n\t\t\t\t<input name='input_64' type='radio' value='Self-Storage\/Investigator Lab: (If choosing self-storage, straws will be held at the MMRRC facility until a QC in-vitro fertilization (IVF) is performed. Investigators are responsible for collecting their sample within 30 days of the date of QC, otherwise the sample will automatically be stored with the MMRRC and the investigating lab\u2019s grant will be billed. If you leave the University without notifying us, we have the right to dispose of your samples.'  id='choice_5_64_1'    \/>\n\t\t\t\t<label for='choice_5_64_1' id='label_5_64_1' class='gform-field-label gform-field-label--type-inline'>Self-Storage\/Investigator Lab: (If choosing self-storage, straws will be held at the MMRRC facility until a QC in-vitro fertilization (IVF) is performed. Investigators are responsible for collecting their sample within 30 days of the date of QC, otherwise the sample will automatically be stored with the MMRRC and the investigating lab\u2019s grant will be billed. If you leave the University without notifying us, we have the right to dispose of your samples.<\/label>\n\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_5_64'>All samples are preserved in Cassou insemination straws and must be stored directly in liquid nitrogen or in liquid nitrogen vapor. Samples cannot be stored in any other type of freezer.<\/div><\/li><li id=\"field_5_65\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >QC Options<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_5_65'>\n\t\t\t<li class='gchoice gchoice_5_65_0'>\n\t\t\t\t<input name='input_65' type='radio' value='QC Thaw\/IVF (no charge\/included in cryo fee) - MMRRC at UNC performs a small IVF with QC straw of sperm to access quality of the sample. The fertilization rate is recorded and all embryos produced are cultured to blastocyst stage.'  id='choice_5_65_0'    \/>\n\t\t\t\t<label for='choice_5_65_0' id='label_5_65_0' class='gform-field-label gform-field-label--type-inline'>QC Thaw\/IVF (no charge\/included in cryo fee) - MMRRC at UNC performs a small IVF with QC straw of sperm to access quality of the sample. The fertilization rate is recorded and all embryos produced are cultured to blastocyst stage.<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_65_1'>\n\t\t\t\t<input name='input_65' type='radio' value='QC to pups ($1000) - MMRRC at UNC performs a small IVF with QC straw of sperm to access quality of the sample. The fertilization rate is recorded and embryos produced are transferred to a pseudo-pregnant female. If pups are born, the surrogate will be health tested after pups are weaned. Due to the strict health standards of our colony, every surrogate that births must be sent to RADIL for full health testing. Generally, it takes about 16 weeks until mice are ready to be transferred to your colony. If genotyping confirmation is necessary, we can take tail snips when the pups are 10 days old. Frozen tail snips will then be available for pick up by the investigator&#039;s lab.'  id='choice_5_65_1'    \/>\n\t\t\t\t<label for='choice_5_65_1' id='label_5_65_1' class='gform-field-label gform-field-label--type-inline'>QC to pups ($1000) - MMRRC at UNC performs a small IVF with QC straw of sperm to access quality of the sample. The fertilization rate is recorded and embryos produced are transferred to a pseudo-pregnant female. If pups are born, the surrogate will be health tested after pups are weaned. Due to the strict health standards of our colony, every surrogate that births must be sent to RADIL for full health testing. Generally, it takes about 16 weeks until mice are ready to be transferred to your colony. If genotyping confirmation is necessary, we can take tail snips when the pups are 10 days old. Frozen tail snips will then be available for pick up by the investigator's lab.<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_66\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_66'>Additional Comments<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_66' id='input_5_66' class='textarea medium'  aria-describedby=\"gfield_description_5_66\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_5_66'>Any additional information that you would like to include with this application<\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_5_67' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_5_67' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_7' class='gform_page' data-js='page-field-id-67' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_5_7' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_5_68\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Sperm Cryorecovery General Disclaimer<\/h2><div class='gsection_description' id='gfield_description_5_68'>Sperm must be shipped to the MMRRC at UNC directly to ensure proper handling of the aliquots. The MMRRC at UNC cannot make any guarantees that this procedure will be successful.  Since the MMRRC at UNC did not cryopreserve the sperm, we cannot guarantee the quality of the sample.  It is recommended to submit multiple aliquots of sperm for reanimation.  We will attempt an IVF with 1 aliquot and save the others for back up.  The thaw protocol must be submitted when the sperm aliquots are received.  Without the proper thaw protocol, the MMRRC at UNC cannot perform an IVF.\n\nIf the sperm has low fertilization and doesn\u2019t provide enough embryos for a transfer, we can attempt the IVF again for a reduced fee ($1575) or perform ICSI (Intracytoplasmic Sperm Injection) for  $3,000.\n\nIf pups are born, the surrogate will be health tested after pups are weaned.  Due to the strict health requirements of our colony, we require that every surrogate be sent to RADIL for health testing.  The cost of health testing is included.  Only after we have received the results can the pups be transferred to your colony (generally takes about 16 weeks).  If genotyping confirmation is necessary, we can take tail snips when the pups are 10 days old.  Frozen tail snips will then be available for pick up by the investigator's lab.<\/div><\/li><li id=\"field_5_69\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_69'>Institution Sending The Sample<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_69' id='input_5_69' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_70\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Is The Sending Institution A Commercial Vendor?<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_5_70'>\n\t\t\t<li class='gchoice gchoice_5_70_0'>\n\t\t\t\t<input name='input_70' type='radio' value='yes'  id='choice_5_70_0'    \/>\n\t\t\t\t<label for='choice_5_70_0' id='label_5_70_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_5_70_1'>\n\t\t\t\t<input name='input_70' type='radio' value='no'  id='choice_5_70_1'    \/>\n\t\t\t\t<label for='choice_5_70_1' id='label_5_70_1' class='gform-field-label gform-field-label--type-inline'>no<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_71\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_71'>Number Of Aliquots Submitted<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_71' id='input_5_71' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_72\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_72'>Date To Be Shipped To MMRRC<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_72' id='input_5_72' type='text' value='' class='datepicker gform-datepicker ymd_slash datepicker_no_icon gdatepicker-no-icon'   placeholder='yyyy\/mm\/dd' aria-describedby=\"input_5_72_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_5_72_date_format' class='screen-reader-text'>YYYY slash MM slash DD<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_5_72' class='gform_hidden' value='https:\/\/www.med.unc.edu\/mmrrc\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_5_73\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_73'>QC Data On Sample<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_73' id='input_5_73' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_74\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_74'>Sperm Cryopreservation Protocol<\/label><div class='ginput_container ginput_container_text'><input name='input_74' id='input_5_74' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_75\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_75'>Sperm Thaw Protocol<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_75' id='input_5_75' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_76\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_76'>Health Status Of Sperm Donors<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_76' id='input_5_76' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_77\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_77'>Additional Comments<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_77' id='input_5_77' class='textarea medium'  aria-describedby=\"gfield_description_5_77\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_5_77'>Any additional information that you would like to include with this application<\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_5_78' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_5_78' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_8' class='gform_page' data-js='page-field-id-78' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_5_8' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_5_79\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Embryo Cryorecovery General Disclaimer<\/h2><div class='gsection_description' id='gfield_description_5_79'>Embryos must be shipped directly to the MMRRC at UNC to ensure proper handling of the samples.  The MMRRC at UNC cannot make any guarantees that this procedure will be successful.  Since the MMRRC at UNC did not cryopreserve the embryos, we cannot guarantee the quality of the sample.  It is recommended to submit multiple aliquots of embryos for reanimation.  The proper embryo thawing procedure must be provided to the MMRRC at UNC.  The number of embryos straws thawed and transferred is up to MMRRC at UNC discretion.   If the embryo transfer is unsuccessful and there are embryos left, the MMRRC at UNC can repeat the thaw and transfer for a reduced fee ($800).\n\nIf pups are born, the surrogate will be health tested after pups are weaned.  Due to the strict health requirements of our colony, we require that every surrogate be sent to RADIL for health testing.  The cost of health testing is included.  Only after we have received the results can the pups be transferred to your colony (generally takes about 16 weeks).  If genotyping confirmation is necessary, we can take tail snips when the pups are 10 days old.  Frozen tail snips will then be available for pick up by the investigator's lab.<\/div><\/li><li id=\"field_5_80\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_80'>Institution Sending The Sample<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_80' id='input_5_80' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_81\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Is The Sending Institution A Commercial Vendor?<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_5_81'>\n\t\t\t<li class='gchoice gchoice_5_81_0'>\n\t\t\t\t<input name='input_81' type='radio' value='yes'  id='choice_5_81_0'    \/>\n\t\t\t\t<label for='choice_5_81_0' id='label_5_81_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_5_81_1'>\n\t\t\t\t<input name='input_81' type='radio' value='no'  id='choice_5_81_1'    \/>\n\t\t\t\t<label for='choice_5_81_1' id='label_5_81_1' class='gform-field-label gform-field-label--type-inline'>no<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_82\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_82'>Number Of Aliquots Submitted<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_82' id='input_5_82' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_83\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_83'>Date To Be Shipped To MMRRC<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_83' id='input_5_83' type='text' value='' class='datepicker gform-datepicker ymd_slash datepicker_with_icon gdatepicker_with_icon'   placeholder='yyyy\/mm\/dd' aria-describedby=\"input_5_83_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_5_83_date_format' class='screen-reader-text'>YYYY slash MM slash DD<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_5_83' class='gform_hidden' value='https:\/\/www.med.unc.edu\/mmrrc\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_5_84\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_84'>QC Data On Sample<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_84' id='input_5_84' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_85\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_85'>Embryo Cryopreservation Protocol<\/label><div class='ginput_container ginput_container_text'><input name='input_85' id='input_5_85' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_86\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_86'>Embryo Thaw Protocol<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_86' id='input_5_86' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_92\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_92'>Genetic Cross To Make Embryos<\/label><div class='ginput_container ginput_container_text'><input name='input_92' id='input_5_92' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_87\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_87'>Health Status Of Sperm Donors<\/label><div class='ginput_container ginput_container_text'><input name='input_87' id='input_5_87' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_88\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_88'>Additional Comments<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_88' id='input_5_88' class='textarea medium'  aria-describedby=\"gfield_description_5_88\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_5_88'>Any additional information that you would like to include with this application<\/div><\/li><\/ul><\/div>\n        <div class='gform-page-footer gform_page_footer top_label'><input type='submit' id='gform_previous_button_5' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='submit' id='gform_submit_button_5' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Submit'  \/> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_5' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_5' id='gform_theme_5' value='legacy' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_5' id='gform_style_settings_5' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_5' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='5' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='USD' value='AVBVftEB\/lvyKOaiCwhKWO698rfgQ\/arLdsno53WIMJEiLF3j+ERywF7tS\/Mj87nzh\/dxHLvuL+8lxJ5oJoTUojPUlb1QC9A6uERXlIMN\/rg0T8=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_5' value='WyJbXSIsImExMjcwMDVhZmYzNGMzOTQwMTdkYWU5Y2EzMDZiMzUyIl0=' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_5' id='gform_target_page_number_5' value='2' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_5' id='gform_source_page_number_5' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n             <\/div><\/div>\n                        <p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"ak_\"><label>&#916;<textarea name=\"ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"ak_js\" value=\"176\"\/><script>document.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );<\/script><\/p><\/form>\n                        <\/div><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\n gform.initializeOnLoaded( function() {gformInitSpinner( 5, 'https:\/\/www.med.unc.edu\/mmrrc\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery('#gform_ajax_frame_5').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_5');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_5').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){form_content.find('form').css('opacity', 0);jQuery('#gform_wrapper_5').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_5').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_5').removeClass('gform_validation_error');}setTimeout( function() { \/* delay the scroll by 50 milliseconds to fix a bug in chrome *\/ jQuery(document).scrollTop(jQuery('#gform_wrapper_5').offset().top - mt); }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_5').val();gformInitSpinner( 5, 'https:\/\/www.med.unc.edu\/mmrrc\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery(document).trigger('gform_page_loaded', [5, current_page]);window['gf_submitting_5'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}jQuery('#gform_wrapper_5').replaceWith(confirmation_content);jQuery(document).scrollTop(jQuery('#gf_5').offset().top - mt);jQuery(document).trigger('gform_confirmation_loaded', [5]);window['gf_submitting_5'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_5').text());}else{jQuery('#gform_5').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger(\"gform_pre_post_render\", [{ formId: \"5\", currentPage: \"current_page\", abort: function() { this.preventDefault(); } }]);        if (event && event.defaultPrevented) {                return;        }        const gformWrapperDiv = document.getElementById( \"gform_wrapper_5\" );        if ( gformWrapperDiv ) {            const visibilitySpan = document.createElement( \"span\" );            visibilitySpan.id = \"gform_visibility_test_5\";            gformWrapperDiv.insertAdjacentElement( \"afterend\", visibilitySpan );        }        const visibilityTestDiv = document.getElementById( \"gform_visibility_test_5\" );        let postRenderFired = false;        function triggerPostRender() {            if ( postRenderFired ) {                return;            }            postRenderFired = true;            gform.core.triggerPostRenderEvents( 5, current_page );            if ( visibilityTestDiv ) {                visibilityTestDiv.parentNode.removeChild( visibilityTestDiv );            }        }        function debounce( func, wait, immediate ) {            var timeout;            return function() {                var context = this, args = arguments;                var later = function() {                    timeout = null;                    if ( !immediate ) func.apply( context, args );                };                var callNow = immediate && !timeout;                clearTimeout( timeout );                timeout = setTimeout( later, wait );                if ( callNow ) func.apply( context, args );            };        }        const debouncedTriggerPostRender = debounce( function() {            triggerPostRender();        }, 200 );        if ( visibilityTestDiv && visibilityTestDiv.offsetParent === null ) {            const observer = new MutationObserver( ( mutations ) => {                mutations.forEach( ( mutation ) => {                    if ( mutation.type === 'attributes' && visibilityTestDiv.offsetParent !== null ) {                        debouncedTriggerPostRender();                        observer.disconnect();                    }                });            });            observer.observe( document.body, {                attributes: true,                childList: false,                subtree: true,                attributeFilter: [ 'style', 'class' ],            });        } else {            triggerPostRender();        }    } );} ); \n\/* ]]> *\/\n<\/script>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":4349,"featured_media":0,"parent":40,"menu_order":8,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-44338","page","type-page","status-publish","hentry","odd"],"acf":[],"_links_to":[],"_links_to_target":[],"_links":{"self":[{"href":"https:\/\/www.med.unc.edu\/mmrrc\/wp-json\/wp\/v2\/pages\/44338","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.med.unc.edu\/mmrrc\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.med.unc.edu\/mmrrc\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.med.unc.edu\/mmrrc\/wp-json\/wp\/v2\/users\/4349"}],"replies":[{"embeddable":true,"href":"https:\/\/www.med.unc.edu\/mmrrc\/wp-json\/wp\/v2\/comments?post=44338"}],"version-history":[{"count":0,"href":"https:\/\/www.med.unc.edu\/mmrrc\/wp-json\/wp\/v2\/pages\/44338\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/www.med.unc.edu\/mmrrc\/wp-json\/wp\/v2\/pages\/40"}],"wp:attachment":[{"href":"https:\/\/www.med.unc.edu\/mmrrc\/wp-json\/wp\/v2\/media?parent=44338"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}