Partner Registration - Brain Awareness Week

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To enroll your organization or institution as a Brain Awareness Week partner, please complete all required fields (* = required field) on the form below.

You will be notified via email when your registration is approved. The email will include your login credentials. Once you update your password, you will be able to log in to the Partner Dashboard to post your activities, order free materials, and submit a partner report.

Registration Details
Registration Details
Prefix
First Name*
Last Name*
Email*
This will be your username
Title
Department
Institution Details
Institution Name*
Institution Type*
Address 1 (no P.O. box)*
Address 2 (no P.O. box)
Address 3 (no P.O. box)
City*
Province
Country*
State (if US is country)*
Postal Code
Telephone Number*
Extension
Institution Website (URL)
Brief Description of Institution
We collect this data to process your request to register to be a Brain Awareness Week partner and to send you information about BAW deadlines and requests. We also use it, aggregated with other partners' information, to compile anonymized statistics about the BAW campaign. We may share these statistics, with no personally-identifying details, publicly. We also use your data to reach out to partners for interviews, and to find partners to highlight on our website and social media. On occasion, we share their data with other partners who are looking for an organization in their area to collaborate with. Your institution’s name will be publicly listed as a Brain Awareness Week partner on our website, your name appears on the event, report, and order forms.

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Registration Details

Registration Details

Institution Details