University of Alabama
Research Security Evaluation
Research Faculty __________________________________________________________________
Dept ____________________ Building(s) _______________ Room(s) _____________________
Date of Completion ________________________________________________________________
Prepared by _____________________________________________________________________
Does your lab use Biological Agents? YES_______ NO________
If yes, submit an inventory with name, amount, biosafety level, and any permits/registration required.
Do you use neutron sources or gamma producing material? YES_______ NO________
Do you use or store chemicals in your lab? YES_______ NO________
If yes, submit an inventory with name and amount of chemicals in lab.
______ CHECK HERE if any of your funding sources impose security requirements and/or restrictions on personnel or publication. Additional information may be required.
Does your research involve any of the following items listed on the Technology Alert List:
|Technology Alert List (please review the list before answering)||Yes||No|
|Rocket Systems and Unmanned Air Vehicle (UAV) Subsystems|
|Navigation, Avionics, and Flight Control Useable in Rocket Systems and Unmanned Air Vehicles (UAV)|
|Chemical, Biotechnology, and Biomedical Engineering|
|Remote Sensing, Imaging, and Reconnaissance|
|Advanced Computers/Microelectronic Technology|
|Laser and Directed Energy Systems Technology|
|Sensors and Sensor Technology|
If yes to any of the above, submit project protocols and/or grant application and information on the funding agency. Additional information may be required.