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CNeuromod data access form

Principal Investigator
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Last name  First name
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Academic position
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Affiliation
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Province, country
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Institutional email
Project
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Project title (max 250 characters)
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Project description following this structure  (max 2500 characters)

  • Background
  • Aims
  • Hypothesis
  • Methods
  • Expected results
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I accept that my project be listed on the neuromod website.
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Collaborators
Lists of researchers associated with the project
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2
3
4
5
Institutional representative

An institutional representative has legal authority to sign a data transfert agreement for the institution. 
Here is a suggested short list of people who would be considered as institutional representative:

  • Office of the vice chancellor for research
  • Office of sponsored research
  • Head of the office of innovation and partnership
  • Vice principle for research and innovation

 

(This question is mandatory)
I valid, the institutional representative has been advised that he/she will be asked to sign the Data Transfer Agreement (DTA).
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Last name / First name
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Position
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Address
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Email
 
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