IEEE Brain Volunteer Interest Form
Thank you for your interest in IEEE Brain. Please fill out this form to indicate the areas in areas in which you would like to get involved. For questions, please email brain@ieee.org
Name *
First and last name
Affiliation (Company or University) *
Email *
Website
Are you a student? *
Are you a member of IEEE ? *
Are you a member of IEEE Brain? *
Membership is not required to be a part of the IEEE Brain Community. However, if you would like to support the community and access member benefits, you can find information on joining IEEE Brain here. Membership in IEEE Brain is free for members of the supporting IEEE Societies, and other IEEE members can join for a nominal cost. 
Which activity area(s) are you interested in for us to contact you for involvement? *
Required
Please provide any additional information about your interest and/or qualifications.
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