CPIN Trainee Awards Highlight Form

We would love to hear about and highlight the awards our trainees have received from their home department/institutes and other agencies. Please let us know your achievements by completing the form.

First Name

Last Name

Degree or Training Program

E-mail Address

Name of Supervisor

Department or Institution Name

Completed CPIN courses (not including NEU1000H and NEU2000H):

Awards received while enrolled in CPIN

Please specify for each awar: (a) Name of the award, (b) Funding source, (c) Time period of the award (Year-Year), (d) Awarded amount

Tell us a little bit about yourself (max 150 words)

What picture would you like CPIN to use on the website and social media?

For the best result, please upload a landscape picture with the aspect ratio of 3:2 (= width : height).
One file only.
100 MB limit.
Allowed types: gif, jpg, jpeg, png.

Please double check the information before submitting.*

I confirm that the information submitted in this form is accurate and complete to the best of my knowledge.