FMRI Course Request

**This form is offline - please email the relevant info direct to the course instructor**

FMRI Methods and Analysis- Fall Quater. Email David Dubowitz
FMRI Advanced Topics - Winter Quater. Email Rick Buxton

Your Name:

Your Email:

Your Institute:

Which Course are you interested in?

Other relevant information: e.g. are you a student? post doc? faculty/staff?
Will you be taking the course for credit or auditing? etc. (max. char.: 255)

Type verification image:
verification image, type it in the box