NeuroHackademy 2023: application to participate

Applicant Details:
Full Name*

First NameMiddle NameLast Name
Birth Date*

MonthDayYear
E-mail*
Academic Institution
City
State/Province
Country*
What is your current position?*

Graduate studentPostdocFacultyResearch Staff
Demographic information (optional)
Gender
Race (select one or more)

American Indian or Alaska NativeAsianBlack or African AmericanHispanic or LatinoNative Hawaiian or Other Pacific IslanderWhite
Ethnicity

Hispanic or LatinoNot Hispanic or Latino
Additional optional information for US applicants

NIH encourages institutions to diversify their student and faculty populations to enhance the participation of individuals from groups that are underrepresented in the biomedical, clinical, behavioral and social sciences (see: https://grants.nih.gov/grants/guide/notice-files/NOT-OD-20-031.html). Therefore, we ask that US-based applicant also provide the additional information (for definitions, please see NIH web-page). Note that this information is optional, even for US-based applicants, and you do not have to provide it.
Are you or have you ever been homeless?Were you ever in foster care system?Have no parents or legal guardians completed a bachelor’s degree?Were you eligible for the Federal Free and Reduced Lunch Program for two or more years?Were you or are you currently eligible for Federal Pell grants?Have you received support from the Special Supplemental Nutrition Program for Women, Infants and Children (WIC) as a parent or child?Did you grow up in a U.S. rural area or a Centers for Medicare and Medicaid Services-designated Low-Income and Health Professional Shortage Areas?Do you have a physical or mental impairment that substantially limits one or more major life activities, as described in the Americans with Disabilities Act of 1990?
Programming experience

We are interested in including participants with a broad variety of technical background and experience.
Please briefly tell us about your programming skills and experience (max 200 words). We strongly encourage you to include links to any code you have online*

0/200
GitHub user-name (please create one if you don't have one at https://github.com/join)*
Personal Statement:
Please state why you want to participate in this program, including how participation would contribute to your long term goals. (400 word limit)*

0/400
Participation modality

We plan to hold a hybrid event that will have both online participants and in-person participants in Seattle.
How would you prefer to participate?

OnlineIn personEither
Supporting Documents:
Please upload a copy of your CV (pdf format)*

Upload Files

Cancelof
Please tell us where you found out about NeuroHackademy
Declarations:
Declaration

I certify that, to the best of my belief, the information I have provided is complete and true.
Signature of Applicant*

First NameLast Name
Date*

daymonthyear
Should be Empty:

Applicant Details:

Demographic information (optional)

Additional optional information for US applicants

Programming experience

Personal Statement:

Participation modality

Supporting Documents:

Declarations: