Request edit access
Sign in to your Google account to fill out this form
This form contains features which require sign in.
Online Brain Intensive: Mailing List
Please complete the following survey to join our mailing list to be informed of course updates, sponsorship opportunities and further training:
Would you like to join the mailing list for "Online Intensive for Brain Science: Computation and Imaging" course?
What do you hope to gain from this online course?
Technical skillset in brain computation and imaging
An introduction to computational neuroscience topics
Competitive Access to Internships
What is your primary field of study (Neuroscience, Computer Science, Physics, etc.)
Current (or most recent) Institution
What is your highest level of education
Some High School
Some Graduate/Medical Training
What is your primary country of residence?
Submit your cover letter, resume, or description of relevant experience
Please add a professional photo if you would like to add that to your student profile.
Do you consent to sharing this information to academic and industry recruiters who have teamed with Womanium Organization to employ graduates from this course?
Please provide a brief professional bio (to be shared with industry and academic recruiters)
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service