The BRAIN Initiative® Meeting
NIH BRAIN Initiative Home (link) Contact NINDS Office (link)
OMB#: 0925-0740 Exp. Date: 07/2022
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The 8th Annual BRAIN Initiative Meeting is intended to be a hybrid (in-person with virtual access) meeting. Please indicate below if you plan to attend in-person or as a virtual attendee. NOTE: This decision will be reviewed in March and the website will be updated if a conversion to a 100% virtual meeting is necessary due to public health guidelines.
I would like to attend in-person.
I would only attendee virtually.
Current HHS public health regulations require any in-person attendees for events larger than 50-persons to provide information about vaccination status. In-person attendees who are fully vaccinated must be able and willing to provide proof of vaccination at request on site. In-person attendees who are not fully vaccinated or decline to provide information about their vaccination status must provide proof of a negative COVID-19 test completed no later than the previous 3 days (at request, on site) and comply with masking and physical distancing requirements for individuals who are not fully vaccinated while on site. In-person attendees in areas of high or substantial transmission must wear a mask in public indoor settings regardless of vaccination status. This information will be updated as public health guidelines evolve.
Please indicate your vaccination status as of June 20, 2022: (Required)
Fully vaccinated in accordance with CDC guidelines. (please be prepared to show your vaccination card on site, at request). Persons are considered “fully vaccinated” two weeks after completing the full series of a COVID-19 vaccine approved or authorized for emergency use by the U.S. Food and Drug Administration or that has been listed for emergency use by the World Health Organization (e.g. Pfizer, Moderna, Janssen, AstraZeneca/Oxford, Johnson & Johnson etc.) or a full vaccine series (not a placebo) in a clinical trial (e.g. Novavax).
I will not be fully vaccinated by June 20, 2022 as defined by CDC guidelines. I will provide proof of a negative COVID test (antigen or PCR) taken no earlier than June 18, 2022 and comply with masking and physical distancing requirements when I arrive on site.
Exempted from vaccination in accordance with CDC guidelines. I will provide proof of a negative COVID test (antigen or PCR) taken no earlier than June 18, 2022 and comply with masking and physical distancing requirements when I arrive on site.
I prefer not to share my vaccination status. I will provide proof of a negative COVID test (antigen or PCR) taken no earlier than June 18, 2022 and comply with masking and physical distancing requirements when I arrive on site.
First Name (Required)
Last Name (Required)
Email Address (Required)
Re-enter Email Address (Required)
Prefix: (Required)
Job Title: (Required)
Company/Organization/Institution: (Required)
Country: Drop down list (If State/Province is not dependent on the country selection, then move this question below Zip/Postal Code.
Work Address: Two lines
City:
State/Province (Can this be a drop down, with the option to type in? Or will the option available be based on the country selected?)
Zip/Postal Code:
Work Phone:
Please indicate your gender: (Required)
Female
Male
Prefer not to answer
Other (fill in)
Please indicate your race/ethnicity: (Required)
American Indian/Alaska Native
Asian
Black/African American
Hispanic/Latino
White/Caucasian
Prefer not to answer
If you require a reasonable accommodation to participate in the virtual meeting (e.g., captioning, sign language), please indicate below. Note that we cannot guarantee accommodations for requests received after XXXX.
(Required)
Yes/No
What is your main reason(s) for attending the BRAIN Investigators Meeting? (open field) (max XXX characters)
Please select your attendee type (Required)
“Scientist” is defined as: investigators performing research who have completed post-doctoral, residency, or other fellowship training. “Trainee” is defined as: individuals in post-doctoral or residency training or earlier educational stage.
Scientist – BRAIN funded, or BRAIN affiliated
Scientist – Other, not yet affiliated with the U.S. BRAIN Initiative
Trainee– Any
Other (fill in if selected)
You have indicated that your Attendee Type is "Other" (e.g. Federal Staff, Media/Press, Patient/Advocacy Group, or Staffer/Member of Congress, etc.). Please describe your involvement. (Required if Other is selected)
How many times have you previously attended the annual BRAIN Initiative Meeting? (Required – can be a drop down or radio buttons)
0
1-2
3-4
5+
Had you worked in the field of Neuroscience prior to participating in the BRAIN Initiative?
Yes /No
Aside from Neuroscience, please indicate the primary (1), secondary (2), and tertiary (3) fields of research with which you identify? (Would like this set up as a single question, where people write in 1, 2, and 3)
Biochemistry or Molecular and Cellular Biology
Bioinformatics, Statistics, or Applied Mathematics
Chemistry
Clinical Sciences
Computational Biology
Computer Science
Engineering
Ethics, Philosophy, or Law
Genetics/Genomics
Neuroimaging/Radiology
Physiology or Systems Biology
Physics
Psychology or Behavioral Sciences
Other (please specify):
Please indicate your level of agreement with the following statement: My work/research environment is inclusive. (Required)
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
How familiar are you with the NIH BRAIN Initiative's Plan for Enhancing Diverse Perspectives (PEDP)? (Required)
Not at all familiar
Slightly familiar
Moderately familiar
Very familiar
I have written a PEDP
Where have you heard about the PEDP? (Select all that apply)
BRAIN Initiative Funding Announcement
BRAIN Initiative Staff
Other NIH Staff
A colleague
Social media
Other: (open field) max XXX characters
Please indicate your level of agreement with the following statement: The NIH BRAIN Initiative’s PEDP approach is likely to promote and/or improve diversity, equity, and inclusion in research? (Required)
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
Please elaborate on your position:
(open field max XXX characters
How clear was the guidance when putting together the PEDP for your grant submission? (Required)
Very unclear
Unclear
Moderately clear
Clear
Very clear
Please describe why:
(open field) max XXX characters
Please indicate your level of agreement with the following statement: Incorporating the NIH BRAIN Initiative’s PEDP enhanced inclusivity in my proposed research. (Required)
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
Please elaborate on your position:
(open field) max XXX characters
Please indicate your level of agreement with the following statement: Incorporating the NIH BRAIN Initiative’s PEDP will enhance the potential scientific impact of my proposed research. (Required)
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
Please elaborate on your position:
(open field) max XXX characters
We are interested in learning more about the resources that you have produced as a result of your BRAIN project(s). Please provide website URLs, a short title/description, and the specific BRAIN project for which the resource was developed by using the form below. These URLs may be added to resources pages on BRAIN Initiative website(s) to facilitate distribution among the research community.
Do you receive federal funding through the BRAIN Initiative?
Yes / No If No is selected, then additional question should appear
Please describe the funding source for your BRAIN-related project
(required) (max XXX characters) (open field)
Please indicate the number of BRAIN projects with which you are affiliated. You will have the opportunity to provide information on each project: (Can also be set up as a drop down)
1 project
2 projects
3 projects
4 projects
5 projects
(For each project selected, the following questions should appear)
Please select your funding source from the drop down:
NIH
NSF
DARPA
IARPA
Other
Please provide the project/grant/contract number of your BRAIN project, if applicable:(required) (max XXX characters) (open field)
Provide a short description, with any relevant URLs, for resources stemming from your project [e.g. publicly available data/repositories, software, training materials, reagents/animals…]: (required) (max XXX characters) (open field)
The National Institutes of Health, along with the other federal and non-federal organizations participating in the U.S. BRAIN Initiative, recognizes the benefits of a diverse workforce on scientific discovery, with a particular focus on enhancing the pool of individuals from backgrounds underrepresented in biomedical research. The NIH recognizes that the value of conferences is enhanced when persons from diverse backgrounds and perspectives are included in all aspects of conference/meeting planning and when attendees are assured of a safe, respectful, and inclusive environment free from discrimination, harassment, and other barriers that might prevent or inhibit one’s participation. NIH encourages conference attendees to enhance diversity by increasing the participation of individuals from diverse backgrounds, including those from underrepresented groups, in the planning and implementation, and ultimately, participation in the proposed conference. Per NIH Notice of Interest in Diversity NOT-OD-20-031, we seek to nurture appropriate representation of underrepresented groups include individuals from nationally (US) underrepresented racial and ethnic groups, individuals with disabilities, individuals from disadvantaged backgrounds, and women as invited speakers and poster presenters in relation to their participation in the annual BRAIN Initiative Meeting. Successful submissions will be as specific as possible when describing the diversity of their panels.
Please select one of the following choices (check boxes or radio buttons). You will be able to submit more than one option and will be prompted again after completing each set of fields.
I am ready to submit a symposium abstract proposal. Submission Deadline: February 18, 2022, at 11:59 PM EST
See what you need to submit – linked pdf here
I am ready to submit an abstract for Trainee Highlight Award consideration. Submission Deadline: March 31, 2022, at 11:59 PM EST
See what you need to submit – linked pdf here
I am ready to submit a general abstract. Submission Deadline: May 16, 2022, at 11:59 PM EST
See what you need to submit – linked pdf here
I plan on submitting at a later date
Add text here explaining how to modify registration/submit later
Complete registration - I do not plan on submitting an abstract at this time.
If Symposium abstract proposal is selected, the following text/questions should appear:
Submission Deadline: February 18, 2022 11:59 PM EST
Symposia Criteria – linked pdf explaining the criteria.
I have read the Symposia Criteria (required checkbox)
If there is an additional Symposium Organizer, please enter their name, email, and affiliation. Note that Symposium Organizers are not required to be moderators/speakers. (one field)
Please provide the title of the symposium session: (required) (max XXX characters) (open field)
Please provide the overall objective(s) and format of the symposium session, including (required) (max XXX characters) (open field)
Number of speakers. (Limit of six (6), including the moderator/facilitator.)
Anticipated duration and topic of individual presentations.
How will a panel/the panelists be used in the session?
What approach to dialogue and/or facilitated Q/A will be employed?
Intended audience and anticipated impact
Other details
Please justify the timeliness and over-arching theme or “big picture” of this symposium session (max XXX characters) (required)
Please provide a BRIEF description for use in the meeting program (max XXX characters) (required)
Please select up to 6 keywords that most closely reflect the subject matter of your proposed Symposia. (dropdown)
Behavior
Cell engineering
Cell Type
Cell-cell interaction
Circuit Diagrams
Cognition
Computational model
Connectome
Dissemination and Open Science
Diversity, Equity, and Inclusion
Electrophysiology
Genomics
Graph theory
Human Neuroscience
Implantable Devices (probes, etc.)
Informatics
Integrated Approaches
Interventional Tools
Microscopy
Molecular/cellular neuroscience
Monitor Neural Activity
Neural networks (topology, etc.)
Neural Recording and Modulation
Neuroethics
Neuroimaging (invasive, noninvasive-imaging)
Optics
Software (analysis, etc.)
Synaptic Plasticity
Theory & Data Analysis Tools
We have identified a speaker to address areas and/or topics relating to the ethical implications of BRAIN-supported emerging concepts, neurotechnologies, and advancements and their applications. (required)
Yes / No answer (required)
If No: 7a. Do you require assistance with the integration of information on the ethical implications of your symposium topic(s), as appropriate?
Yes / No answer (required)
Diversity Statement Acknowledgement
Resources and Strategies to Increase Diversity and Inclusion:
https://hbr.org/2019/09/what-it-will-take-to-improve-diversity-at-conferences
Society for Neuroscience Diverse Speakers: https://www.sfn.org/initiatives/diversity-initiatives/diverse-speakers
8a. In my speaker list, have I included representation of women, minorities, those from disadvantaged backgrounds, and/or persons with disabilities?
Yes / No answer (required)
8b. In my speaker list, have I included institutional/geographic and/or career stage diversity?
Yes / No answer (required)
Please explain your responses to questions 8a and 8b. (open field) (required) (max XXX characters)
Please provide the name(s), affiliations, and emails of at least ONE, but no more than 6, suggested speakers/moderators for this session. (open field) (max XXX characters) (required)
Moderators/speakers do NOT need to be affiliated with or receive federal or non-government BRAIN Initiative funding to participate.
Confirm proposed moderator/speakers are available to pre-record symposium presentation content, if requested (in April/early May 2022), and participate between TIME ET on June 21st or 22nd (in-person and/or virtual, pending public health guidelines).
Should a hybrid meeting be confirmed, we welcome symposium moderator/speaker participation in-person but are able to accommodate all-virtual involvement if required by a given moderator/speaker.
Note: The Program Committee may provide alternate speaker suggestions as a condition of acceptance, in an effort to balance the overall meeting program.
Thank you for submitting your symposium abstract proposal. Would you like to make another submission?
Yes – should bring up the abstract drop down selection again.
No – registration and submission are complete
If Trainee Highlight Award abstract proposal is selected, the following text/questions should appear:
Submission Deadline: March 31, 2022 at 11:59 PM EST
Trainee Highlight Award Criteria– linked pdf explaining the criteria.
I have read the Trainee Highlight Award Criteria (required checkbox)
NOTE: Trainee Highlight Award abstracts are ONLY for the isolated work of the specific trainee. Trainees in the same lab may submit separate abstracts describing their individual work in that lab.
Please provide the title for this THA poster/abstract. The title should be formatted in sentence case: (open field) (max XXX characters) (required)
Please enter your abstract’s author block. Enter each Author’s name in the order they should appear, using their first initial and last name. Each Affiliation should be numbered in the order they appear. Affiliations should not be listed more than once. (open field) (max XXX characters) (required) PLEASE NOTE: Affiliations should be spelled out.
Example:
A. LastName1, E. LastName2, A. LastName1
1Affiliation One
2Affiliation Two
Please indicate the funding source for the BRAIN Initiative project your work supports: (required)
NIH
NSF
DARPA
IARPA
Other/Not federally funded
Please provide the title of the overall BRAIN Initiative project your work supports: (required)
Please provide the Grant/Contract Number, if known:
Please provide a brief abstract of the work you intend to present in your poster. Please consider including examples of strategies utilized to advance the scientific and technical merit of the proposed project through expanded diversity, equity, and inclusion. Abstracts should be a written description of less than 2200 characters and should only include plain text with no additional information (ex. symbols, graphs, charts, pictures, etc.). (required) (max XXX characters) (open field)
Please select the most appropriate abstract scientific topic area (drop down or radio buttons) (required)
Cell Types
Circuit Diagrams
Monitor Neural Activity
Interventional Tools
Theory & Data Analysis Tools
Human Neuroscience
Integrated Approaches
Neuroethics
Please select up to 6 keywords that most closely reflect the subject matter of your proposed abstract. (dropdown)
Behavior
Cell engineering
Cell Type
Cell-cell interaction
Circuit Diagrams
Cognition
Computational model
Connectome
Dissemination and Open Science
Diversity, Equity, and Inclusion
Electrophysiology
Genomics
Graph theory
Human Neuroscience
Implantable Devices (probes, etc.)
Informatics
Integrated Approaches
Interventional Tools
Microscopy
Molecular/cellular neuroscience
Monitor Neural Activity
Neural networks (topology, etc.)
Neural Recording and Modulation
Neuroethics
Neuroimaging (invasive, noninvasive-imaging)
Optics
Software (analysis, etc.)
Synaptic Plasticity
Theory & Data Analysis Tools
Should a hybrid meeting be confirmed, and this abstract is selected for a THA, are you able and willing to present in-person? This answer is purely for planning purposes and will not impact your eligibility.
Options - Yes, No, I don’t know
Thank you for submitting your Trainee Highlight Award abstract proposal. Would you like to submit another type of abstract?
Yes – should bring up the abstract drop down selection again.
No – registration and submission are complete
If General abstract proposal is selected, the following text/questions should appear:
Submission Deadline: May 16, 2022, at 11:59 PM EST
General Abstract Criteria – linked pdf explaining the criteria.
I have read the General Abstract Criteria (required checkbox)
You, as the submitting author, will receive all future communication related to this submission, including a confirmation email and details on submitting your poster. Please check your spam folder if you are not receiving the emails.
Please provide the title for this poster/abstract. The title should be formatted in sentence case: (required) (max XXX characters) (open field).
Please enter your abstract’s author block. Enter each Author’s name in the order they should appear, using their first initial and last name. Each Affiliation should be numbered in the order they appear. Affiliations should not be listed more than once. (open field) (max XXX characters) (required) PLEASE NOTE: Affiliations should be spelled out.
Example:
A. LastName1, E. LastName2, A. LastName1
1Affiliation One
2Affiliation Two
Who will present the poster? The presenter must be one of the authors. In the event of a hybrid meeting, the presenter should be able/willing to present in-person. (required) (open field)
Please indicate the funding source for your BRAIN Initiative project: (required)
NIH
NSF
DARPA
IARPA
Other/Not federally funded
Please provide the title of the overall BRAIN Initiative project: (required) (open field)
Please provide the Grant/Contract Number, if known: (open field)
Please provide a brief abstract of the work you intend to present in your poster. Scientific abstracts may also include examples of strategies utilized to advance the scientific and technical merit of the proposed project through expanded diversity, equity, and inclusivity. Abstracts should be a written description of less than 2200 characters and should only include plain text with no additional information (ex. symbols, graphs, charts, pictures, etc.). (required) (max XXX characters) (open field)
Please select the most appropriate abstract topic area: (required)
Cell Types
Circuit Diagrams
Monitor Neural Activity
Interventional Tools
Theory & Data Analysis Tools
Human Neuroscience
Integrated Approaches
Neuroethics
Diversity, Equity, and Inclusion: highlight successful DEI programming and/or strategies implemented in your lab, institution, and/or organization. These posters will display DEI accomplishments, evidence-based challenges, and potential solutions – including needs and lessons learned. Examples of relevant content might include:
Strategies to enhance workforce diversity and inclusion
Developing or enhancing partnerships and collaborations among investigators from research-intensive institutions, institutions with limited research resources, or that have not historically competed for BRAIN funding
Effective outreach and recruitment opportunities to advance early education exposure (i.e., summer research, K-12 programs, etc.)
Furthering practices that promote diverse trainee engagement and inclusive research teams
Please select up to 6 keywords that most closely reflect the subject matter of your proposed abstract. (dropdown)
Behavior
Cell engineering
Cell Type
Cell-cell interaction
Circuit Diagrams
Cognition
Computational model
Connectome
Dissemination and Open Science
Diversity, Equity, and Inclusion
Electrophysiology
Genomics
Graph theory
Human Neuroscience
Implantable Devices (probes, etc.)
Informatics
Integrated Approaches
Interventional Tools
Microscopy
Molecular/cellular neuroscience
Monitor Neural Activity
Neural networks (topology, etc.)
Neural Recording and Modulation
Neuroethics
Neuroimaging (invasive, noninvasive-imaging)
Optics
Software (analysis, etc.)
Synaptic Plasticity
Theory & Data Analysis Tools
Thank you for submitting your General abstract proposal. Would you like to submit another type of abstract?
Yes – should bring up the abstract drop down selection again.
No – registration and submission are complete
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Kathleen Berry |
| File Modified | 0000-00-00 |
| File Created | 2022-02-14 |