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2025 Young Investigator Awards Submission Form

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2025 Young Investigator Awards Competition
2025 Young Investigator Awards Submission Form

2025 Young Investigator Awards Submission FormJohn Celio2023-09-19T10:11:35-07:00

2025 Young Investigator Awards
Submission Form

Submission Deadline:

"*" indicates required fields

Uploaded to Journal:*

JMRI

MRM

Manuscript Tracking No.*

Title of Manuscript

ISMRM Member Number*

Gender

How do you identify?

Man

Woman

Non-Binary

Prefer not to disclose

Prefer to self-describe

Please self-describe:

Name*

First Last

Degree

Date of Degree

Year

Month

Day

Organization

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Mailing/Contact Information

Is this new contact information?

Yes

No

This address is for:

Home

Work

Organization

Name of Supervisor

Supervisor's Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Supervisor's Phone

Supervisor's Fax

Supervisor's Email

Applicant's Email*

Upload a .zip file containing the following: Curriculum Vitae & Mentor/Supervisor Letter

Accepted file types: zip, Max. file size: 24 MB.

If you have any questions or experience any difficulties uploading your zipped file, please contact yia2025@ismrm.org

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