Mathematical Neuroscience Summer School

Welcome to the Summer School on Mathematical Neuroscience. Please fill out the following questionnaire so that we can obtain your information.
*1. Full Name
*2. Nationality
*3. Gender
*4. Email Address
*5. Phone Number
*6. Current Institution
*7. Degree Program (e.g., BS Mathematics, PhD Neuroscience)
*8. Expected Graduation Year
*9. Please upload your English CV
*10. Upload your academic transcripts 

(relevant math courses completed and grades received e.g., Calculus I, Calculus II, Linear Algebra, Differential Equations, Probability & Statistics)

11. Optional: provide documentation demonstrating your strong foundation in mathematics or list the courses you have taken in the field of mathematical neuroscience. Unofficial transcripts are acceptable.
12. Optional: upload the first page of your accepted or submitted papers, or your resume on MathSciNet, if available
*13. Would you be willing to present your poster on mathematical neuroscience research at the summer school? 

(students selected for poster showcases will receive travel reimbursement)

14. Please add any additional comments here if you have any.