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Cognitive Neuroscience Student Declaration of Interest Form
If you are interested in pursuing the Five College Cognitive Neuroscience Certificate please complete this online form and click 'submit' at the bottom of the page. The certificate is available to undergraduate students enrolled at Hampshire College, Mount Holyoke College and Smith College. Students pursuing the certificate are encouraged to consult regularly with a campus advisor to the Cognitive Neuroscience program.
First Name
Last Name
Campus
- Select -
Amherst College
Hampshire College
Mount Holyoke College
Smith College
UMass Amherst
Graduation Year
Your Email
Phone
Do you have an advisor for the Cognitive Neuroscience Certificate?
Yes
No
Enter advisor's name here:
What Cognitive Neuroscience courses have you already taken?
Please include: campus, course title, instructor's name, department, course number, semester, year.
Do you have questions or comments?
Learn More About The Cognitive Neuroscience Certificate Program
Visit the
FCI Cognitive Neuroscience Webpage
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