2024 BRAIN NeuroAI Workshop

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Please complete the following registration form to attend the 2024 BRAIN NeuroAI Workshop on November 12th–13th, 2024

OMB-NO.: 0925-0740 | EXP: 09/30/2025

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First Name *

Last Name *

Email *

Phone

City

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Affiliation/Organization *

Career Stage *

Principal Investigator — BRAIN Funded or BRAIN Affiliated (as PI, Co-I, or Collaborator)

Principal Investigator – Other, not affiliated with the U.S. BRAIN Initiative

Staff Scientist or Technician – Any

Early-Career Scholar – High School through post-doctoral researcher or residency training

Other (if selected, fill in your answer below)

You have indicated "Other" (e.g., Federal Staff, Media/Press, Patient/Advocacy Group, Staffer/Member of Congress, etc.). Please describe your primary role or involvement.

The 2024 BRAIN NeuroAI Workshop will occur as a hybrid (in-person with virtual access) meeting. All registrants will be able to attend virtually. In-person registration is now closed. If you expect to attend in-person, please send an inquiry to BRAINNeuroAIWorkshop@ninds.nih.gov with additional details. *

I will only attend virtually.

Request for Reasonable Accommodations:

If you require a reasonable accommodation to participate in the virtual meeting (e.g., captioning, sign language), please specify those accommodations below. Note that we cannot guarantee accommodations for requests received after October 21, 2024.

Yes (If selected, please specify below)

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Specify your requested reasonable accommodations below.

NeuroAI Early-Career Scholar Honorarium and Poster Blitz

Are you an Early-Career Scholar with a poster you would like to present at the workshop? Learn more and apply for the NeuroAI Early-Career Scholar Honorarium ($400) and Poster Blitz by navigating to the abstract submission page after you hit submit below.

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