Reviewers Candidate form – The Human Brain Project (HBP) Competitive Call First Name(s): Surname: Position Affiliation: Organisation type: Department: Telephone: Web link: (personal profile on website) Number and Street City: Zip/Post Code Country: Email: Are you aware of any existing member of HBP in your group/department: Please indicate which of the following you feel able to review (Please mark your field of expertise with an X) 1. Human and mouse neural channelomics and receptonics. 2. Genotype to phenotype mapping of the mouse brain. 3. Identifying, gathering and organizing multimodal human and nonhuman neuroscience data. 4. Cognitive architectures. 5. Novel methods for rule-based clustering of medical data. 6. Neural configurations for neuromorphic computing systems. 7. Virtual robotic environments, agents, sensory & motor systems. 8. Theory of multi-scale circuits. Would you be available during the remote review phase? (Between the 6th of November and the 19th of December 2013) YES / NO Would you be prepared to be a panel member? (A Review Panel will meet on the 9th and 10th, or the 15th and 16th of January 2014 (final date t.b.d.), in London YES / NO Number of applications you would be prepared to review (Applications are expected to have around 10 pages length and each reviewer can evaluate up to a maximum of 10 proposals) …./ 10 Please describe briefly your field(s) of expertise (max 250 characters) Please add up to 6 keywords (separated by commas please) that describe your expertise: Any further comments (max 250 characters) Please include up 6 publications