CPIN Faculty Membership Application

If you are a member of the University of Toronto faculty engaged in neuroscience activities, please fill out the information requested on this form and click submit.

If you are a graduate student who would like to enroll in the Collaborative Program in Neuroscience (CPIN), please go here for admission requirements and procedures.

If you are a postdoctoral fellow and would like to be included on the CPIN mailing list, please go here.

First Name*

Last Name:*

Location*

If other, please describe

Building/Room/Suite

Telephone Number

Email*

Credentials*

University Rank*

Department of Primary Appointment*

Cross Appointments

SGS Appointment*

Department of SGS membership:*

Other institutional appointments and affiliations

Research interests

Links to your research you would like included on your site profile

Pubmed search string for your publications

Please upload your CV in PDF format:*

One file only.
10 MB limit.
Allowed types: pdf.

Please provide a short biography (< 250 words)*

If you would like to include a picture of yourself, please browse to file on your computer (.jpg, .png)

One file only.
10 MB limit.
Allowed types: png, jpg, jpeg.