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Student Application Form

The UCLA NeuroImaging Training Program is now a sponsored NIH project, and funding will be available to selected students beginning the Fall 2006. Please use this form to apply to the program from within UCLA. Participation in the NITP, and access to its training activities is NOT contingent on the award of a stipend.

To learn more about the NITP, please have a look at this program description.

Classwork will begin in winter 2009. The requirements for the NITP core course, "Principles of Neuroimaging" include competency in Integral Calculus, Electricity & Magnetism, Statistics and Computer Programming (any language). Students will also be expected to have strong knowledge of neuroscience, equivalent to the M202, M203, M204, M205 sequence in the Neurosciences IDP.

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We are presently experiencing problems with our online submission. Please print this form as a PDF or hard copy and send it to mscohen@ucla.edu

Please mail your CV to         

Please evaluate your ability in these areas:
Clear and Well-defined Research Goals
Neuroanatomy Knowledge
Functional Neuroanatomy
Mathematics
Creativity in Study Design
Creativity in Data Collection
Independence
Knowledge of Neuroimaging Methods
Resourcefulness
Computing Skills
Academic Success (grades, etc...)
Have you submitted an NRSA or other funding application? Yes:  No:
If so, was it funded?   
Yes:  No:  Pending:
How many years have you completed at UCLA? Department:
Why do you think that the NeuroImaging Training Program is the right program for you?:

We are presently experiencing problems with our online submission. Please print this form as a PDF or hard copy and send it to mscohen@ucla.edu

Please mail your CV to         

Your research advisor, if you have one, should complete the student nomination form at http://www.brainmapping.org/NITPNomination.php

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