JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Multimodal Neuroimaging Day Registration Form
Date: July 19, 2022 (9:00AM-5:30 PM)
Both In-person and Virtual
Location: Fascitelli Center for Advanced Engineering, Room 010c, University of Rhode Island, Kingston Campus
Zoom Link:
https://us02web.zoom.us/j/84198264375?pwd=RLXH3gstG0w_3QAH99I9vxGRLwFBmg.1
Please provide the following details by "07/11/2022"
For any queries feel free to reach out to Dr. Yalda Shahriari:
neuralpclab@gmail.com
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name
*
Your answer
Email
*
Your answer
Phone Number
*
Your answer
Affiliation
Your answer
Do you have the plan to attend in-person or virtually?
*
In-person
Virtually
If you are attending in-person: Allergies/Dietary Restrictions (if any)
Your answer
Any special accommodation we need to be aware of?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of University of Rhode Island.
Report Abuse
Forms
