2024 Mentor Award Nominations

Please complete the nomination form below for the Mentor 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 Friday, February 2, 2024 at 23:59 EST, USA.

Full Name: *

Your Institution:

Your Email: *

I would like to nominate (full name): *

Please provide a copy of the nominee's current CV or Biosketch. *

Upload a letter (in 1000 words or less) written by the nominator, summarizing the impact of the nominee on the training/careers of his/her mentees. *

Upload a second letter (in 1000 words or less) written by a primary and a secondary mentee (can be former or current mentees) who can each provide a first-hand account of how the nominee influenced his/her career. Academic, clinical, and educational achievements on the part of the mentee will be considered important. *

Upload a third letter (in 1000 words or less) written by a primary and a secondary mentee (can be former or current mentees) who can each provide a first-hand account of how the nominee influenced his/her career. Academic, clinical, and educational achievements on the part of the mentee will be considered important. *

Upload a fourth letter (in 1000 words or less) written by a primary and a secondary mentee (can be former or current mentees) who can each provide a first-hand account of how the nominee influenced his/her career. Academic, clinical, and educational achievements on the part of the mentee will be considered important. *

Fields marked with * are required.

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