The fMRI Data Center
fMRI Informatics Workshop
DARTMOUTH COLLEGE

July 8 - July 10, 2002


 
APPLICATION FOR SUMMER WORKSHOP FELLOWSHIP
 


 
A. Application Requirements

Along with the submission of this application, the following items are required for an application to be considered:

  1. Current Curriculum Vitae.

  2. Two letters of recommendation.

  3. A one-page statement explaining why you wish to attend.

The above items may either be sent to the address below, or emailed directly via this link.
 

 
B. Identification

First Name: Middle Name: Last Name:

Degree: Job Title/Position:

Employment Address:

Mailing Address (if other than above):

Daytime Telephone: Fax Number:
(Please include country & city code for International Calls)

E-mail address:
Please indicate whether you would object to having your email address be published in our directory: Yes No

 

 
C. References: List two people who will supply letters of recommendation:

 

Reference 1
Reference 2
Name


Title


Institution


Address
E-mail



 

 
D. Provided by the Data Center:

 

 
APPLICATION DEADLINE - FEBRUARY 15, 2002
Notification of acceptance will occur no later than March 30, 2002.

 

 

 

Summer Workshop in fMRI Informatics
The fMRI Data Center
Dartmouth College
6162 Moore Hall
Hanover, NH 03755 USA
http://www.fmridc.org
email: summerworkshop@www.fmridc.org