HBI Associate Membership Application
Thank you for your interest in the Hotchkiss Brain Institute. The success that the HBI has achieved to date, and
will achieve in the future, is principally based on the efforts and achievements of its members. Our members
secure tens of millions of dollars in competitive external funding each year, they create new collaborative, team
based projects, and they drive research discovery and translation efforts within the Institute. While the HBI
provides resources, such as space, core facilities, and seed funding, the activities of our members, working
together to advance our research and education mission, are the true ‘engine' of the HBI. Membership in the
HBI (new and continuing) is approved by the Institute Executive Committee and is subject to periodic review.
The Associate membership term is three years (renewable).
The benefits and responsibilities associated with Associate membership in the Institute are governed by the HBI
Membership Guidelines (below). Please review these guidelines before applying for HBI Associate membership.
ASSOCIATE MEMBERSHIP CRITERIA:
 An academic appointment at a Canadian university; including adjunct and research appointments
 If the applicant is external to the University of Calgary, they must be sponsored by a Full HBI member
 An interest in brain or mental health research and/or education, but with a primary interest or commitment
outside of the HBI
BENEFITS:
 Opportunities for collaboration with the HBI membership, including the option to join one or more
NeuroTeam*
 Invitations to all HBI events for the PI plus all of their trainees and research staff
 Please note that Associate members are not eligible for HBI funding, direct support or core resources, and
typically are not allocated space within the HBI footprint
RESPONSIBILITIES:
 Ongoing contributions to HBI research and/or education activities which contribute to the Institute’s goals
outlined in the 2015 HBI Strategic Plan
o Contributions may include participation in collaborative projects, membership on graduate student
review committees, internal review of grant applications and other similar activities
*To learn more about the nine NeuroTeams and the benefits to joining one or more team, please visit
hbi.ucalgary.ca/NeuroTeams
Health Research Innovation Centre, 3330 Hospital Drive NW, Calgary, AB T2N 4N1
T 403.220.3558 F 403.210.9382 E hbi@ucalgary.ca W www.hbi.ucalgary.ca
HBI Associate Membership Application Form:
Name: Click here to enter text.
Date: Click here to enter a date.
Institution: Click here to enter text.
Academic rank: Click here to enter text.
If external to UCalgary, please name the Full HBI
member who is sponsoring your application:
Click here to enter text.
Contact Information
Email: Click here to enter text.
Office Phone: Click here to enter text.
Lab Phone: Click here to enter text.
Office Location: Click here to enter text.
Lab/Clinical Research Location: Click here to enter text.
Assistant Name: Click here to enter text.
Email: Click here to enter text.
Phone: Click here to enter text.
Degrees (Institutions) and Royal College Fellowship
(if applicable)
CIHR Pillar(s) – please check all that apply
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☐Pillar I
☐Pillar II
Department(s)
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Full or Associate membership in another institute?
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Your research website
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Your PubMed link
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Awards and honours received
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Other academic appointments (e.g. Chairs, service
positions, etc.)
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Summary of your research and/or education
activities and interests (~300 words)
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Which NeuroTeam(s) do you plan to join, or have
you already joined?
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What motivated you to apply for Associate
membership with the HBI?
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Please share how you intend to contribute to the
success of the HBI as an Associate member
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☐Pillar III
☐Pillar IV
Once completed, please send this form along with a copy of your CV and an electronic photo to hbi@ucalgary.ca. Your
application will be reviewed at the next possible HBI Executive Committee meeting – meetings are held monthly from
September to June.
Health Research Innovation Centre, 3330 Hospital Drive NW, Calgary, AB T2N 4N1
T 403.220.3558 F 403.210.9382 E hbi@ucalgary.ca W www.hbi.ucalgary.ca