Qualtrics Survey | CNCTI-P Interest Form

Thank you for your interest in joining the Center for Neural Circuit-Based Technology Interventions in Psychiatry (CNCTI-P)!

Please note that we are NOT currently accepting new postdoctoral, PhD students, or research assistants; completion of this form will be taken as an indication of future interest, when funding opportunities may become available. We will likely not know about the status of new funding opportunities until Summer of 2025.

We sincerely thank you for your continued interest and patience.

Name (First, Last)

Email address:

Current institution:

Do you currently, or will you in the future, require sponsorship to work legally in the United States (e.g., H-1B, O-1, EB-2)?

Yes
No

What is the highest level of education you have completed?

Bachelor's
Master's (e.g., M.A., M.S.)
Doctor of Philosophy (PhD)
Medical Doctor (MD)

If applicable, which of the following advanced degrees do you intend to pursue?

Master's (e.g., M.A., M.S.)
Doctor of Philosophy (PhD)
Medical Doctor (MD)
Other (please specify)
Not applicable (N/A)

Please specify other advanced degree(s) you intend to pursue.

Please briefly describe how your research interests align and fit into the CNCTI-P.

Please upload a PDF of your updated résumé or CV.

What is your target start date for a position within the CNCTI-P?

What is your target start date for a position within the CNCTI-P?
	Month	Day	Year



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