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We are interested in recruiting eligible candidates for participation in many of our studies. If you are interested in participating in any of our studies (see our current research projects section), please let us know of your interest below. Participants are also compensated monetarily (anywhere between $50 - $200) for their time.

 

Interested Participant Registration Form

Please fill out the following form accurately and completely. Do not submit the form more than once.

 

Full Name*
Date of Birth*
Handedness* Right Left Both
Sex* Male Female
Street Address*
City* State* Zip*
Telephone*
Email Address (optional)
Have you ever had an MRI Scan?* Yes No
Have you ever worked with metal or welding?* Yes No
Have you ever had metal removed from your eye?* Yes No
Comments
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