CSIN Lecture Report and Evaluation Form

Trainee Name*

Trainee ID Number *

(Students should enter their UofT Student Number; Please enter N/A if you are a Postdoc)

E-mail address:*

Research Institution:*

Graduating Department:*

Program:*

CPIN Speaker:*

Other Speaker

(NOTE: In exceptional circumstances, prior permission from the CPIN Director is required for attending neuroscience seminars other than the CPIN Distinguished Lectureship Series in order to fulfill CPIN trainee requirements)

Location:*

Date:*

Lecture Title:*

Please be concise; limit answers to 1-2 brief points.

1. The main focus of the lecture:*

2. List the most important information that you have learned from this lecture:*

3. List one question that you have asked or would like to ask the speaker:*

5. The information that I have learned from this talk can be applied to my own research:*

6. The lecture was clearly delivered:*

7. The lecture was inspirational:*

I would like to learn more on the following topics in future:

Additional comments and suggestions:

I certify that I have personally attended this lecture & completed this form which will be kept as a record in the CPIN office*

I certify that I have personally attended this lecture & completed this form which will be kept as a record in the CPIN office

Would you like to be contacted regarding:

meeting with upcoming lecture speakers

upcoming CPIN volunteer opportunities