[Neuroscience Next 2024]
Chicago Hub Registration

AAIC® Neuroscience Next is a global, no-cost virtual conference April 22-25, 2024 that utilizes an innovative “hybrid hub” model to share the work of international experts while also advancing insights from students, postdoctoral researchers and early career research professionals in cognitive, computational, behavioral, and other areas of neuroscience research.

Registrant Information

The following information helps the Alzheimer’s Association plan future international conferences. Please select a response for each question. (*Denotes required fields.)

Please use this form to register for the in-person Neuroscience Next Chicago Hub on April 25, 2024 (9:30 AM - 5 PM).

The in-person program for the Neuroscience Next Chicago Hub can be found here.

Please register for virtual component spanning April 22-25 at alz.org/neurosciencenext

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* 1. Full Name

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* 2. Organization, Institute, or Affiliation

Name

Address *

Address 2

City/Town *

State/Province *

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* 3. Email

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* 4. Phone Number

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* 5. In case of an emergency on site at AAIC-NN contact:

First Name

Last Name

Daytime phone number

Evening phone number address

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* 6. Are you a member of ISTAART?

Become a member of the Alzheimer's Association International Society to Advance Alzheimer's Research and Treatment (ISTAART) and access a world of research and collaboration. Membership is free for students and those based in low- and middle-income countries. Click here for more information about ISTAART

I am an ISTAART Professional Member

I am an ISTAART Postdoctoral Member

I am an ISTAART Student Member

I am an ISTAART Staff Member

I am not an ISTAART member

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* 7. What is your career stage?

Undergraduate Student

Graduate Student

Post-doctoral

Assistant Professor

Associate Professor

Full Professor

Other (please only use this if you do not fall under one of the above categories)

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* 8. Do you have any dietary restrictions?
(please select all that apply)

I do not have any dietary restrictions

Vegetarian

Vegan

Gluten Free

No Shellfish

Nut free

Other (please specify)

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* 9. I require the following accommodations in order to participate

Not Applicable

Hearing

Visual

Mobile

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* 10. Terms & Conditions:

The personal data you provide will be used to register you for the conference. By completing this registration form, you accept the Term of Use for Alzheimer’s Association and you give the Alzheimer’s Association permission to use your contributions for internal purposes in compliance with our privacy policy.*

I agree with the Photo/Video/Audio Policy*

I agree to opt-in to receive conference related emails.

I agree with the above Terms & Conditions.

[Neuroscience Next 2024] Chicago Hub Registration

Question Title

* 1. Full Name

Question Title

* 2. Organization, Institute, or Affiliation

Question Title

* 3. Email

Question Title

* 4. Phone Number

Question Title

* 5. In case of an emergency on site at AAIC-NN contact:

Question Title

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* 7. What is your career stage?

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* 8. Do you have any dietary restrictions? (please select all that apply)

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* 9. I require the following accommodations in order to participate

Question Title

[Neuroscience Next 2024]
Chicago Hub Registration

* 8. Do you have any dietary restrictions?
(please select all that apply)