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Brain Awareness Week

March 16-22, 2009

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SfN/DABI BAW REPORT SUBMISSION FORM

Congratulations on participating in Brain Awareness Week (BAW)! You are encouraged to share the successes of your recent BAW efforts and event experience. For the first time, the Society for Neuroscience (SfN) and the Dana Alliance for Brain Initiatives (DABI) are working cooperatively to assemble BAW reports into a user-friendly online compilation. The newest compilation of reports is now available. The compilation features best practices, descriptions of innovative activities, photos, and lessons learned. The elements captured in the reports are intended to provide details about unique experiences and useful insights from BAW organizers. The reports aim to assist others in organizing and implementing brain awareness events in the future and to ultimately improve the delivery of neuroscience education. Individual SfN BAW Reports and DABI BAW Reports from previous years are accessible online.

To submit a BAW report, complete and submit the online form below. If you would like to share a supplemental report of your BAW activities, please e-mail to baw@sfn.org or mail a print copy to: SfN, Attn: BAW Reports, 1121 14th St., NW, Suite 1010, Washington, DC 20005. Please keep in mind that your comments will be read by others, and therefore should be appropriate and helpful to those wishing to learn from your experience.

*Required Fields

BAW ORGANIZERS & SUPPORTERS:

*1. Provide the full name of the institution or group that served as the primary organizer of your BAW event(s) [Please use a full name, not an acronym: e.g., National Institute of Health (NIH)]:

*1a. Are you reporting on behalf of a SfN chapter?
           Yes No

          If Yes, select chapter name
          

Note to SfN Chapter Representatives:
This report does not take the place of your annual chapter report.

*1b. Are you a registered BAW Partner with the Dana Alliance for Brain Initiatives?
           Yes No

1c. List any other participating organizations and supporters of your BAW event(s) [Use full names, not acronyms: e.g., Society for Neuroscience (SfN)]:

1d. Did you have a BAW Web site or Web site devoted to BAW? If yes, please share your BAW Web site (URL):

 

BAW EVENT(S) SUMMARY:

*2. Provide a brief overview of activities (include information about the objective of your program, target audience, number of people reached, and the key method used to accomplish your goal in a clear and succinct synopsis, 200 words or less):

Overview Statement Example:
Marquis University sponsored different events to mark BAW, each one reaching a distinct audience and addressing a different research topic. In all, 300 people were reached through two public lectures, lab tours, and other exhibits. We also helped build relations with the city through a mayoral proclamation, initiated by our Chapter president Dr. Perry.

*3. Provide specific details on your major events/activities [include event titles, and full names/affiliation of presenter(s)]:

Details of Your Events—Examples:
Event 1: "Research Equals New Treatment" Dr. Jones, a pain specialist from Brain University, lectured on new approaches for controlling persistent pain. Nearly 100 people attended and the local media covered the story on the evening news.

Event 2: A science fair for high school students was held at the Hazard Branch Community Library. The exhibits featured information on neuroanatomy, including comparative images of normal versus diseased brains for examination by attendees. Three local high schools visited the fair as a field trip.

Event 3: The Mayor of the Capital City signed a proclamation declaring Brain Awareness Week. Members of the local pilot club were on hand for the ceremony, which was also attended by local dignitaries.

 

BAW PREPARATION & ORGANIZATION:

4. What methods did you use to publicize your event(s), and which do you feel were most successful?

Example: We posted flyers and signs all over campus and in local businesses. We also mailed promotional materials to local schools.

Example: We sent out press releases to local newspapers, and radio and TV stations a week in advance.

Example: We used an integrated effort through direct mailings, phone calls, and published the BAW event schedule on our Web site.

5. How was your event funded?

6. What materials/publications were used as part of your event? (Please be specific and indicate any organizations from where materials were generated, such as SfN and DABI.)

 

BAW PARTICIPANTS & OUTCOME:

7. Who attended your event(s)? Describe their reactions and responses.

8. Who organized and staffed the event(s)? Describe their affiliation (volunteers, students, faculty, employees) and approximately how many people were involved.

9. How do you feel BAW participation benefited your local community? What have been some of the immediate outcomes from the event?

 

BAW FEEDBACK & KEYS TO SUCCESS:

10. Please provide any other details or results from your event(s) that you wish to highlight:

11. Please share any suggestions or lessons learned that may help others plan future BAW events:

12. If you like, provide any "quotable comments" which capture successful aspects of your event(s).

 

SHARE YOUR BAW PICTURES:

Important! Check this box if you have images to submit (a maximum of 4 images). You will then be directed to the next page to upload your pictures after clicking "submit" at the end of the submission form.

 

PLEASE ENTER YOUR CONTACT INFORMATION:

Contact information must be entered to submit your report. Should there be any questions about the content of your report, the person listed below will be contacted by SfN and/or DABI staff.

*First name:

Middle name:

*Last name:

Degree:

*Type of Institution:

Institution Name:

Department:

*Address:

 

*City:

State/Province
(USA/Canada):

Region (if applies):

*Zip or postal code:

*Country:

*Phone:

*E-mail:

*PERMISSION
Yes, I can and do grant the Society for Neuroscience and the Dana Alliance for Brain Initiatives permission to reproduce all materials from this BAW report in relevant publications and Web sites for BAW promotional purposes.