mission:brain Chapter Application

What is the name of your institution?*

Region

Name of Applying MB Chapter President*

First Last

Email of Applying MB Chapter President*

Name of Applying MB Chapter Vice President*

First Last

Email of Applying MB Chapter Vice President*

Name of Applying MB Chapter Treasurer*

First Last

Email of Applying MB Chapter Treasurer*

Additional MB Chapter leadership members

Please provide full names, emails, and roles of each person.

Upload applying students CV's/Resumes*

Upload applying students CV’s/Resumes

Please rename your CV/Resume as “School-Name_First-Name_Last-Name-Resume” i.e. John-Smith_University-of-San-Francisco_Resume.pdf

Upload applying students CV's/Resumes*

Please rename your letter of intent as “School-Name_Letter-of-Intent” i.e. University-of-San-Francisco_Letter-of-Intent.pdf

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Name

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