Welcome to the FUN Information Form
for Organizational & Sustaining Members*!

FUN needs support from institutions such as yours! Thank you!
  • If your institution or program is joining FUN as an organizational member, please submit the information form on this page and submit payment to the FUN Treasurer via our secure on-line payment system or by snail mail (details can be found on the "Join FUN Now! " page). Dues are "due" by December 1 and are valid for the following calendar year.
* Definition of Organizational / Sustaining Members : Organizational Members shall be professional institutions, state or regional associations, clubs, and university or college departments/programs supporting undergraduate neuroscience activities. Organizational Members may designate one representative (who is not a student) with voting power but who may not hold office in FUN. I ndividuals, organizations, professional institutions and graduate departments/programs that have a further interest in the advancement of undergraduate neuroscience may be invited by the President (with approval of the Executive Committee) to become Sustaining Members . Sustaining Members shall not vote or become Officers or Councilors of FUN.
FUN ORGANIZATIONAL MEMBER - INFORMATION FORM
(Form revised 10-11-2007)

Please complete the form and click the "Submit Form to FUN" button at the bottom of the page. Use the "Tab" key to move between information fields. All fields marked with a red *are required.

Does this submission contain* NEW Information or REVISED Information?

Member Institution Name: *

Specific Program and/or Department: *

Degree(s) Granted: * None BA BS MA MS PhD MD/PhD

Web Address:

Web Address for Undergraduate Summer Research/Internship Program (if applicable):


Program Mailing Address: *


Program Contact Name and Title: *
E-mail address to obtain program information: *

Program Phone: ( )
Program FAX: ( )

Brief Description of program or institution: (please limit to 100 words or less)


Additional comments for FUN: (not to be published on the website)

* Name and title of contact person responsible for voting on behalf of the organization:

E-mail address: *
(This e-mail will be used to validate the organizational representative's ballot.)

Phone: * ( )

               Remember! Fields marked by * are required.
PLEASE NOTE: This directory will not update immediately upon submission of the form. Please do not submit more than one form unless you are submitting a corrected form. Contact the FUN webmaster with questions regarding this form or publication of the website directory.

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PRIVACY STATEMENT: All information included in the membership directory is intended for use by FUN members only (all categories). No commercial use of this directory is allowed without express prior permission. For questions regarding the use of the membership database please contact the FUN President .
Copyright © 2007 - Faculty for Undergraduate Neuroscience. All rights reserved.