Apply as an Innovator

Become an Innovator

Neuro Nexus needs visionaries and technically proficient individuals like you from disciplines including engineering, science, business, and medicine to address barriers in brain and mental health. Participants who help build solutions at Neuro Nexus are known as innovators.

This is an incredible opportunity to gain new skills, experience, and to use your skills within a multidisciplinary team and make a real impact. Learn more about becoming an innovator by reading our information package.

Application Deadline: Monday, October 5th

First Name *:
Last Name *:
Date of Birth *:
City of Residence *:
City of Residence - Other:
Gender *:
Gender - Other:
Email Address *:
How did you hear about us? *:
Please let us know which social media connected us:
Are you currently a student? *:
Current level of education?:
Institution Name?:
What is your degree called?:
What is your major name?:
What is your specialization or minor? (if applicable):
Projected year of completion?:
Do you have a previous degree? *:
What was the level of education? (2):
What was your degree called? (2):
What was your major name? (2):
What was your specialization or minor? (2):
Do you hold additional degrees? (2):
What was the level of education? (3):
What was your degree called? (3):
What was your major name? (3):
What was your specialization or minor? (3):
Do you hold additional degrees? (3):
What was the level of education? (4):
What was your degree called? (4):
What was your major name? (4):
What was your specialization or minor? (4):
Do you hold additional degrees? (4):
What was the level of education? (5):
What was your degree called? (5):
What was your major name? (5):
What was your specialization or minor? (5):
Do you hold additional degrees? (5):
What was the level of education? (6):
What was your degree called? (6):
What was your major name? (6):
What was your specialization or minor? (6):
Dietary restrictions? *:
Dietary restrictions - Other:
Have you participated in one of our events before? *:
What year/s did you innovate with us? (Select All That Apply):
What technology skills do you bring? (Select All That Apply) *:
What business skills do you bring? (Select All That Apply) *:
What general skills do you bring? (Select All That Apply) *:
What technology skills do you want to learn? (Select All That Apply) *:
What business skills do you want to learn? (Select All That Apply) *:
What general skills do you want to learn? (Select All That Apply) *:
Lastly, why do you want to become an innovator at NN 2020? (Optional):

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