2017-2018 GNS Research Prize - Registration
This award was established to encourage students (undergraduate and medical students) and young physicians-in-training to explore the world of the brain and nervous system through research, including but not limited to laboratory, clinical, and basic science research.
Last name *
First Name *
Phonetic pronunciation of your full name
Title of Project *
Email address *
Cell Phone *
Mailing Address *
Education level or Degree *
Institution *
When will you complete your current level of training? *
Are you related to a member of the GNS Board or GNS Staff? *
Names of Mentors and / or Advisors *
Did you receive any commercial funding for this project (if "yes", please be as specific as possible).
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