2019 Education in Neuroimaging Award Nominations

Please complete the nomination form below for the Education in Neuroimaging Award.

If you have trouble with the form below, please submit the required nomination information in a single pdf to OHBM Executive Office at info@humanbrainmapping.org by November 12, 2018.

Full Name: *
Your Institution:
Your Email: *
I would like to nominate (full name): *
Upload a short biographical statement / CV no more than 2 pages on the nominee that includes name, current mailing address, current phone and email, information on advanced professional degrees or specialty degrees geared towards education and training *
Upload a Letter of Nomination, in one thousand words or less, providing a detailed description of the nominee’s unique contributions to education and training in neuroimaging. Use specific examples and data to support your nomination. Note we are looking for a text-based description demonstrating how contributions support education and training and not simply a resume of lifetime achievements or positions held. *



Fields marked with * are required.

Your form submission WILL be encrypted using SSL to ensure your privacy.

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