JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Intersecting Minds:
A NeuroHumanities & Consciousness Collective Interest Form
Hello! This is an interest form for a cross-institutional NeuroHumanities working group. This form has 9 questions and is around 10-20 minutes to complete. If you have questions or ideas for this new collective, please feel free to reach out to Samantha Chipman at schipma@emory.edu.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name
*
Your answer
Institutional affiliation or workplace (if applicable)
*
Your answer
Role (ex. Student, nurse, author, psychologist, scholar)
*
Your answer
What specific aspects of the field of NeuroHumanities are you most interested in? (ex. philosophy of the mind, cognitive literary studies, neuroethics, etc.)
*
Your answer
How do you think the collective can contribute to the field?
Your answer
What types of events and initiatives would appeal to you?
*
Your answer
What social media channels do you use?
*
Your answer
If you are interested in volunteering, what skills would you be most interested in contributing to the collective?
Your answer
Please add your email address to receive news and updates
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
