2019 Early Career Investigator Award Nominations

Please complete the nomination form below for the Early Career Investigator 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): *
A brief statement (in 1000 words or less) giving the reasons for nomination and commenting on the nominee's contributions to the field of human brain mapping;professional degrees or specialty degrees geared towards education and training *
A short biographical statement(no more than two pages) on the nominee, including: Name; Date of birth; Present affiliation; Current mailing address; Current phone, fax and email; Advance professional degrees (including institutions and dates); List of postdoctoral fellowships, residencies and professional appointments (including dates of service); *
A short list no more than two pages of *most notable* publications or the URL of website (if available)* *



Fields marked with * are required.

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