Neuroscience Active Experience Workshop

Tuesday, March 24, 2020 at 8:45 AM until 12:15 PMEastern Daylight Time

Western New England University
1215 Wilbraham Rd
Springfield, MA 01119
United States

Required fields are marked with an asterisk (*)

First Name*

Last Name*

Email Address*

Birthdate*

Cell Phone Number

Mailing Address*

Country
Street
City
Region
Postal Code

Current School Name*

Intended Major*

Is this your first visit to campus?

Yes

Would you like to go on a campus tour?

Yes

Additional information we should know.

Please indicate if you need any accommodations.