SBN Elections 2025 Candidate Form
Please submit your nomination for the available positions within SBN. The deadline to submit is Sunday MAY 16th at 11:59PM. For more information about open committee positions please visit https://bit.ly/SBNcommittees. For more information about open executive committee positions please visit https://bit.ly/SBN_Executive_Positions.
SBN Committee Positions
Executive Committee Positions
Name
*
First Name
Last Name
Email
*
example@example.com
Are you a member of SBN? If no, please please visit soblackneuro.org to complete your membership application BEFORE submitting your nomination. Contact soblackneuro@gmail.com for any membership troubleshooting issues.
*
Yes
No
What is your professional status (or anticipated professional status if transitioning within the next 3-6 months)?
*
Please Select an Option
Advanced Career
Mid-Career
Early Career
Postdoctoral Fellow (2 or more yrs)
Postdoctoral Fellow (1st yr)
Intern
Graduate Student/Trainee
What type of position are you applying for?
*
Executive Committee leadership position
Committee Chair Position
Both
Choose the Executive Committee position to which are you are submitting an application.
Please Select
President-Elect
Member at Large
Treasurer
Student Representative
If you would like to submit nominations for more than one position, please submit a separate form for each nomination.
If not selected for an Executive Committee position would you like to be considered for any alternative leadership position?
Yes
No
Depends on the position
Choose the position(s) in which you are interested in applying. (Select all that apply)
Logistics and Events Committee Chair
Mentorship Committee Chair
Education Committee Chair
Membership Committee Chair
If not selected for a Committee Chair position would you like to be considered for an alternative Chair position?
Yes
No
Depends on the position
SBN is a growing organization and the number of likeminded neuropsychologist who value our work is slowly but steadily growing. If not selected for any position, can we consider you to serve as a member on a committee?
*
Yes
No
Depends on the committee
Please upload a professional headshot
*
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Please upload a copy of your CV
*
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Include a statement that addresses your interest in serving in the desired capacity for SBN. Include 5-7 bullet points that highlight your relevant experience for the position.
*
0/700
[Executive Committee Applicants Only] Please upload a 2-minute video outlining your background and fit for the leadership position for voters to review during the election (optional).
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[Executive Committee Applicants Only] Submit the link to your video here if you are unable to upload it above.
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