The British Neuroscience Association Student Representative Application Form Thank you for your interest in the BNA Student Representative Scheme. Please fill out the application form below giving as much detail as possible. Completed forms along with a 1-page copy of your CV should be returned to office@bna.org.uk. The BNA will use the details provided in the shortlisting process. Shortlisted applicants may be called for a short interview with their local group representative. More details about the scheme can be found on our website:bna.org.uk. Further questions should be directed to the BNA office ( Please make sure you introduce yourself to your Local Group Representative of BNA and inform them you are applying for the LGSR scheme. A list of LGRs and their institutions can be found on our website: If you can not contact your LGR for any reason, please inform the office. Please note that the closing date for applications is Midnight on Friday 24th March. Section 1 – Personal Details First Name Last Name Term address Telephone University email University Level of study Undergraduate Postgraduate (please tick) Course Study start date Study end date Academic contact (course leader, director of studies) for referee purposes:
The British Neuroscience Association Student Representative Application Form Thank you for your interest in the BNA Student Representative Scheme. Please fill out the application form below giving as much detail as possible. Completed forms along with a 1-page copy of your CV should be returned to office@bna.org.uk. The BNA will use the details provided in the shortlisting process. Shortlisted applicants may be called for a short interview with their local group representative. More details about the scheme can be found on our website:bna.org.uk. Further questions should be directed to the BNA office ( Please make sure you introduce yourself to your Local Group Representative of BNA and inform them you are applying for the LGSR scheme. A list of LGRs and their institutions can be found on our website: If you can not contact your LGR for any reason, please inform the office. Please note that the closing date for applications is Midnight on Friday 24th March. Section 1 – Personal Details First Name Last Name Term address Telephone University email University Level of study (please tick) Undergraduate Postgraduate Course Study start date Study end date Academic contact (course leader, director of studies) for referee purposes: