EBBS :: New member form

Having read the Society Rules and agreeing to abide by them, I wish to apply for membership.

All fields marked with a *red asterisk in the form below are mandatory. If this same form reloads after submission, one or more fields have not been correctly filled in; the fields that require attention will be highlighted in red. If you need assistance, don't hesitate to contact the Webmaster.

*Membership type

For student memberships, the application must be accompanied by a confirmation from your direct supervisor. Please pay particular attention to the email address provided below, since an automated message will be sent to that address.

*Supervisor's name^§

*Supervisor's email^§

^§These data are for EBBS administrative purposes only (and will not be shared with other members).

*First name(s)

*Last/Family name(s)

*Date of birth^§

*Citizenship^§

^§These data are for EBBS administrative purposes only (and will not be shared with other members).

*Email address

Telephone

Mobile

Current position

Affiliation

*University/Institution:

Department

*Address

*City

*Postal code

*Country

Website:

*Privacy Policy:
For information on how we handle all the data collected for the EBBS, please see our Privacy Policy page. In addition, please note that, if your EBBS membership is approved, you will automatically become a FENS member also. This implies that your name (first and last) and email address will be communicated to the FENS; no other data will be shared.
I agree

European Brain and Behaviour Society

European Brain and Behaviour Society

Membership Application

European Brain and Behaviour Society