2024 Fellow of OHBM Nominations

Please complete the application form below for the Fellow of OHBM.

If you have trouble with the form below, please submit the required application 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: *
Please provide your history of active engagement in OHBM activities. *
Upload a letter of recommendation (in a 1,000 words or less), from a current OHBM member. Letter of recommendation must outline why you should be accepted as a Fellow and your contributions to OHBM and the brain mapping community. *
Upload a second letter of recommendation (in a 1,000 words or less), from a current OHBM member. Letter of recommendation must outline why you should be accepted as a Fellow and your contributions to OHBM and the brain mapping community. *
Upload a personal statement (in a 1,000 words or less) outlining your reasons for applying to be a Fellow and how your contribution meets the purpose of the distinction. *
Upload a current Curriculum vitae (no more than 10 publications) *



Fields marked with * are required.

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