Henry Grass Rising Stars in Neuroscience Application

DEADLINE:

April 1, 2026

Your Information

Your Name(Required)

First Last

Preferred Name

Your Email Address(Required)

Please provide the email you check most often, and notify The Grass Foundation (info@grassfoundation.org) if your email address changes.

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Mailing Address(Required)

While most correspondence from The Grass Foundation will be conducted via email, please provide an address where you can reliably receive physical mail.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone(Required)

Year Ph.D. Recieved(Required)

Current Position(Required)

Department or Program(Required)

Institution(Required)

Gender Identity

Preferred Pronouns

Are you a first-generation college student?

Yes

No

Prefer not to say

Are you of Cuban, Mexican, Puerto-Rican, South or Central American, or other Spanish culture or origin?

Yes

No

Prefer not to say

Please indicate which race (or races) you identify with.

You may answer that you "prefer not to say."

Do you consent to be interviewed by Foundation Trustees about your application as part of the review process?(Required)

Yes

No

Please write a narrative describing how you have served as a role model for diversity based on your personal experiences or advocacy/outreach efforts. (600-word maximum)(Required)

Please write a description of your research accomplishments and scientific vision.(Required)

Biosketch(Required)

Please upload a completed biosketch in the format described by the National Institutes of Health (NIH).

Accepted file types: pdf, doc, docx, Max. file size: 25 MB.

Letters of Reference

Please list two individuals submitting letters on your behalf who are able to speak confidently about your contributions to advancing diversity and inclusion in neuroscience. They will be emailed with instructions for submitting their references. One letter should be from your current supervisor, if applicable.

Reference 1 Name(Required)

First Last

Reference 1 Institution(Required)

Reference 1 Email(Required)

Reference 2 Name(Required)

First Last

Reference 2 Institution(Required)

Reference 2 Email(Required)

Submission Procedure

How did you learn about the Henry Grass Rising Stars in Neuroscience?(Required)

Check all that apply

Faculty

Grass Foundation Website

Social Media

Grass Fellowship Alumnus

Henry Grass Rising Star in Neuroscience Award Recipient

Society for Neuroscience Conference

Other

Please explain.

Acceptance of Conditions

Checking the box below confirms that I have read and accept all conditions and policies listed in this application form and on the Henry Grass Rising Stars in Neuroscience webpage.

Date(Required)

Please sign by entering your full name below.