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A. E. Bennett Research Award

To submit your application for the Society of Biological Psychiatry's A. E. Bennett Research Award, please complete the following form including uploading of the required documents.  Applications will be accepted through November 30th.  Recipients will be announced by January 30th.

Personal Information

Professional Information

First Name* *
Middle Initial
Latest Degree Awarding Institute *
Last Name *
Degree *
Latest Degree Year *
Institution *
Department *
Year Residency or Fellowship Completed
State *
Country *
Phone *
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Email *
Date of Birth *


Letter of nomination by your Department or Program Chair *
Two Letters of Support (one must be from a member of the Society) *
Brief description of your research(one page) *
2-3 published or submitted papers.