Online Neuroscience Course Application 2022
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Email *
Emails should be from institutions (e.g., not
If you don't possess one ,please enter whatever address you have and fill the comment box at the end of the form
Applicant's Last Name *
Applicant's First Name *
Billing Address
Postal address
Phone Number
A phone number at which you can be contacted
Where do you work? *
Indicate the lab, PI's name, institution, city, country...
Fee waiver requested
Please explain briefly why you are asking for a fee waiver
I am a Guest
Check the box only if you are a member of a partner institution (SPPIN,ICM, PSL, IBPS, Institut de Vision) or from the laboratory of a coursecurrent lecturer/instructor. It seems obvious but don't pay if you are a guest!
In case you don't have an institutional email please explain here why
Please include the email of an academic person who can vouch for you (typically a lab PI).
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