ORGANIZATION FOR HUMAN BRAIN MAPPING
PETITION FOR SPECIAL INTEREST GROUP FORMATION

Name of Special Interest Group (SIG) *
The Scope of this SIG includes *
This SIG will enhance OHBM’s objectives by: *

We understand SIGs must follow the governance guidelines as set forth by OHBM.  The following individuals have agreed to serve as Chair, Chair-Elect, Secretary and Secretary-Elect:

Chair Name *
Chair Institution *
Chair Email *
Chair -Elect Name *
Chair-Elect Institution *
Chair-Elect Email *
Secretary Name *
Secretary Institution *
Secretary Email *
Secretary-Elect Name *
Secretary-Elect Institution *
Secretary-Elect Email *

Others:

Name: *
Institution *
Email *
Name *
Institution *
Email *

We understand that SIG activities are held within the framework of the OHBM Annual Meeting and need to be approved in advance.  Should there be an interest to hold activities outside of the Annual Meeting, pre-approval from the Council is required, and will be handled on a case-by-case basis.  Activities of SIGS may include: submitting educational proposals or posters for consideration at the Annual Meeting; hosting online learning/community discussions; and organizing social events to be held during the Annual Meeting. 

Please use this form to obtain the 12 required signatures and return below.

The undersigned, being all members of good standing in the Organization for Human Brain Mapping, collectively endorse the commitment to forming a Special Interest Group (SIG) to be named *
Please upload the complete signature form here *



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