Stand Alone Online Application

Application for Institute on Neuroscience (ION)

Application for Institute on Neuroscience (ION)

Personal Data

Street Number and Street Name
Apartment Number, Suite Number, Etc.
Main Contact Phone Number
(mm/dd/yyyy)

Self-Identification of Race/Ethnicity

This program is subject to certain nondiscrimination and affirmative action record keeping and reporting requirements which require us to invite applicants to voluntarily self-identify their race/ethnicity. Submission of this information is voluntary and refusal to provide it will not subject you to any adverse treatment. The information obtained will be kept confidential and may only be used in accordance with the provisions of applicable federal laws, executive orders, and regulations, including those which require the information to be summarized and reported for civil rights purposes. When reported, data will not identify any specific individuals. We are an organization that values diversity and encourages women and minorities to apply. The definitions for each category have been established by the federal government. Please mark the one box that describes the race/ethnicity category with which you primarily identify.

Educational Information

Activities, Honors, Awards

Other

Documents to Upload or Email

Your application will be considered incomplete without the following being received by the deadline:
Drop a file here or click to upload Choose File
Maximum upload size: 52.43MB
Drop a file here or click to upload Choose File
Maximum upload size: 52.43MB
Name of Science Teacher and School
Name of Individual Sending Letter of Recommendation and relationship to you
In what format shall we expect to receive your current official high school transcript? (Examples: Sent via mail by the school registrar, Sent via email by the school registrar, Sent via email by a service such as Parchment)

Application Fee of $25

Your application will be considered incomplete without the receipt of the application fee by the deadline. Please make your secure payment through Georgia State University's Marketplace (Store name: The Center for Behavioral Neuroscience). You can copy and paste the following URL into your browser, https://secure.touchnet.com/C20797_ustores/web/store_main.jsp?STOREID=204&SINGLESTORE=true, or find the Application Fee Payment Link on the ION website.

Application Deadline - 2/4/2018

All applications must be received no later than midnight (EST) on Sunday, February 4, 2018 (including online form, uploaded personal statement, letter of recommendation from a high school science teacher, letter of recommendation from an adult not related to you, official high school transcript, resume, and application fee of $25).
Sending