Fellow of OHBM Nominations

Please complete the application form below for the Fellow of OHBM.

If you have trouble with the form below, please submit the required application information in a single pdf to OHBM Executive Office at info@humanbrainmapping.org by Tuesday, February 3, 2026 at 11:59 pm EST, USA.

Full Name: *
Your Institution:
Your Email: *
Please provide your history of active engagement in OHBM activities. *
Upload a letter of recommendation (in a 1,000 words or less), from a current OHBM member. Letter of recommendation must outline why you should be accepted as a Fellow and your contributions to OHBM and the brain mapping community. *
Upload a second letter of recommendation (in a 1,000 words or less), from a current OHBM member. Letter of recommendation must outline why you should be accepted as a Fellow and your contributions to OHBM and the brain mapping community. *
Upload a personal statement (in a 1,000 words or less) outlining your reasons for applying to be a Fellow and how your contribution meets the purpose of the distinction. *
Upload a current Curriculum vitae (no more than 10 publications) *



Your form submission WILL be encrypted using SSL to ensure your privacy.

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