2026 Spring BrainHealth Champions UTD Application Form
Welcome! We're the BrainHealth Champions at the University of Texas at Dallas. Thank you for your interest in joining our community. Please share a bit about yourself and your interests below. We'll reach out to you through your UTD email or Microsoft Teams group after you submit your application.
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First Name *
Last Name *
Do you have preferred name/ nickname?
What are your preferred pronouns? *
What is your UTD email address? (e.g., abc123456@utdallas.edu) *
What is your major? (If you are currently pursuing a minor or double major, and willing to share it, let us know! *This organization is open to ALL majors*) (e.g., Psychology/ Business as minor)  *
What year in school are you?  *
Will you be enrolled at UTD in Spring 2026?  *
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