Alz Fast Track

Please provide your information below exactly as you would like it to appear in the event program and website.

Type of Registration(Required)

I will pay $750 now using my credit card (payment will occur once registration is completed)

I am the guest of a registered speaker

I am applying for a Travel Award and will pay $350

Speaker Name(Required)

If you would like to apply for a travel award, please provide a statement of need below (500 words).(Required)

Note: Need can mean people of different sex/genders, races/ethnicities, cultures, religions, physical abilities, sexual orientations or preferences, ages, first generation in your family to obtain a higher education degree, urban versus rural no-top tier educational institution, etc.

Registration fee includes 3 nights of single occupancy lodging in the hotel November 11th, 12th, and 13th, 2025, plus meals, workshop content, and opening and closing receptions. Payment link will be sent in a confirmation email once this form is completed.

Salutation

(Ex: Mr., Mrs., Dr., etc.)

First name(Required)

Last name(Required)

Degree(Required)

Institution/Organization(Required)

Department

Address(Required)

Street address City State/Region ZIP/Postal code Country

Email(Required)

Phone number

Name of Mentor/Supervisor(Required)

Mentor/Supervisor Email

Position that best describes your career situation (choose one)

Junior Faculty Switching Into/Entering Alzheimer’s Disease Research

Postdoctoral Fellow

Graduate Student

Other

Laboratory Website

LinkedIn Profile

Bio(Required)

Limit to 60 words or approximately 300 characters with spaces

High Resolution Head Shot(Required)

JPEG or PNG File, minimum file size 300 DPI File name should be: Last Name_First Name_AFT2025

Max. file size: 100 MB.

By registering for this workshop, you authorize BrightFocus Foundation to use the information submitted, as well as photos taken during the workshop, on our website and in informational and/or fundraising materials.(Required)

Yes I agree

The Alzheimer’s Fast Track is designed to train the next generation of scientists and provide a framework for success by encouraging collaboration, mentorship and creative thought. To help facilitate your scientific growth, you will be working within a collaborative team to design and present a mock grant proposal which will take place on Friday, October 4th. Please choose 3 of the topics below to be grouped accordingly.

Choose 3 Mock Grant Themes(Required)

Differential Diagnosis

Endolysosomal System

Multi-Etiology Dementia

Neuroimmune Interface

Novel Therapeutics

Neurodegenerative Pathobiome

Sex Based Differences

Social Determinants of Health

Vascular Contributions

Please note that you are responsible for lodging Friday October 4th, airfare, and transportation to and from the workshop. Registration (and payment, if applicable) includes meals and hotel reservations made on your behalf for October 1, 2, 3, 2024. Your hotel stay will be at the Royal Sonesta, Chicago Downtown for 3 nights of single occupancy lodging. You should plan to arrive at the hotel the afternoon/evening of Tuesday, October 1, for a reception with heavy hor d’oeuvres and to be prepared for an 8am start time on Wednesday, October 2. The workshop will end late afternoon on Friday, October 4.

When you click the button below, you will receive a confirmation email for Alzheimer’s Fast Track registration. By registering, you are also acknowledging that you will be sent information about future Alzheimer’s Fast Track events, and other important information. If you have any questions, please contact Sharyn Rossi at srossi@brightfocus.org. Thank you!

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