Online Application

Applicant's Personal and Contact Information

Last Name:

First Name:

Primary Email Address:

Mailing Address:

Current University/Professional Affiliation:

Title or Position:

Office Telephone:

Home/Mobile Telephone:

Which approach best describes your work?

What is your primary academic field or department? (e.g., clinical psychology, neuroscience, etc.)


Workshop Information

Title of Workshop

Provide a brief summary of your proposed workshop (150 word maximum):

Proposed workshop date(s)

Please note: Research Workshop organizers are responsible for all administrative elements of their events.

Required Application Materials

All uploaded files must be in PDF format, and no larger than 1.5 megabytes each.

Please attach your Curriculum Vitae.
File should follow the naming convention (Applicant's last name)-(Applicant's first name)-ResearchWorkshopCV.pdf,
for example Smith-Anna-ResearchWorkshopCV.pdf

Workshop Proposal
Please attach your proposal (2-3 pages), including:
• Description of the Workshop
• Clear explanation of the Workshop’s relevance to MLI’s mission and/or initiatives
• Anticipated outcomes of the Workshop (e.g., theoretical papers, future meetings, etc.)
• List of the people who will be invited to the Workshop, including titles and affiliations
File should follow the naming convention (Applicant's last name)-(Applicant's first name)-ResearchWorkshopProposal.pdf,
for example Jones-Adam-ResearchWorkshopProposal.pdf

Funding Request (optional)
Please attach a budget outlining any requested funds, describing any financial needs in as much detail as possible. Mind and Life will provide the meeting venue free of charge, and up to $6,000 USD in funding.
File should follow the naming convention (Applicant's last name)-(Applicant's first name)-ResearchWorkshopFundingProposal.pdf,
for example Jones-Adam-ResearchWorkshopFunding.pdf


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