Diversity & Inclusivity Champion Award Nominations

Please complete the nomination form below for the Diversity & Inclusivity Champion 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 Tuesday, February 1, 2022.

Full Name: *
Your Institution:
Your Email: *
I would like to nominate (individual or team): *
A brief statement (in 1000 words or less) articulating how the efforts of the applicants fostered diversity and inclusivity in the OHBM community. *



Fields marked with * are required.

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

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