TYPE OF POSITION AVAILABLE:

Summer Undergraduate
Short Term Undergraduate
Postdoctoral
Faculty

DATES POSITION AVAILABLE:

From to

POSITION DESCRIPTION:

EMPLOYMENT LOCATION:

Institution 
Address   
City         
State           Zip

CONTACT:

Name       
Address   
             
City         
State        Zip 

Telephone   
Fax            
E-mail        

---------------------------------------------------------------------------------------------------------------
Payment Information

Method of Payment 
          Check     (make check payable to ANDP and mail to address below)    
          Credit Card    (complete payment information below)

Ms. Cynthia A. Burks
Association of Neuroscience Departments and Programs
41218 Roundup Road
Magnolia, TX   77354

Credit Card Information
          Type of Credit Card    Visa      MasterCard     Discover     American Express

          Credit Card Number      Expiration Date

          Cardholder's Name (as it appears on card) 

          Cardholder's Signature (required if mailed)  

          Cardholder Telephone Number