Prefix*
Select the prefix
Mr.
Dr.
Mrs.
Miss
Ms.
Prof.
Prof. Dr.
Mx.
First Name*
Preferred Name
Middle Name
Last Name*
Suffix
Select the suffix
II
III
IV
Jr.
Sr.
Designation*
B.A.
B.S.
B.Sc.
BCPP
C.B.E.
C.M.
Ch.B.
D.ES SC.
D.Ms.
D.Phil.
D.S.
D.S.W.
D.Sc.
D.Sci.
D.V.M.
Dr.
Dr. Med. Sc.
F.A.C.P.
FA
FACP
FAPA
FRCP
FRCP(C)
FRCPC
FRCPs
FRCPsy
FRCPsych
FRS
M.A.
M.B.
M.B.A.
M.D.
M.H.
M.P.H.
M.P.P
M.S.
M.S.W.
M.Sc.
Med
Med.D.Sc.
Ph.D.
Pharm.D.
Prof.
Prof. Dr.
Prof. Dr. med
R.Ph.
Sc.D.
Others
D.O.
Press Ctrl key and click on designation to select multiple.
Other Designation*
Please specify the designation.
Ethnicity*
Asian
Black
Hispanic/ Latin American
Indigenous
Middle Eastern and North African
White
Prefer not to answer
Press Ctrl key and click on ethnicity to select multiple.
Which of the above category/categories do you most closely identify with in terms of
Ethnicity? In order to track the effectiveness of efforts regarding Inclusivity, and
ensure we consider the needs of all our members, please consider the above question. As
we have recently adjusted the process of demographic data collection in order to be as
respectful and inclusive as possible, we welcome feedback for further development of the
process. Please provide any comments in the feedback question below.
Display Name*
Enter your full name as you would like it shown in communications from the Society.
Country of Origin
Select country of origin
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo, Republic of (Brazzaville)
Cook Islands
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Democratic Republic of the Congo (Kinshasa)
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong SAR China
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Rep. (North Korea)
Korea, Republic of (South Korea)
Kosovo
Kuwait
Kyrgyzstan
Lao, People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau SAR China
Macedonia, Rep. of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federal States of
Moldova, Republic of
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar, Burma
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territories
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Island
Poland
Portugal
Puerto Rico
Qatar
Reunion Island
Romania
Russian Federation
Russian Federation
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia (Slovak Republic)
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria, Syrian Arab Republic
Taiwan (Republic of China)
Tajikistan
Tanzania (United Republic of)
Thailand
Tibet
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Unknown or Invalid Region
Uruguay
Uzbekistan
Vanuatu
Vatican City State (Holy See)
Venezuela
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna Islands
Western Sahara
Yemen
Zambia
Zimbabwe
In order to track the effectiveness of efforts regarding Inclusivity, and ensure we
consider the needs of all our members, please consider the above optional question. As
we have recently adjusted the process of demographic data collection in order to be as
respectful and inclusive as possible, we welcome feedback for further development of the
process. Please provide any comments in the feedback question below.
Gender*
Woman
Man
Transgender
Non-binary/ Third gender/ Two-spirit
Prefer to self-describe
Prefer not to say
Press Ctrl key and click on genders to select multiple.
What is your gender? In order to track the effectiveness of efforts regarding
Inclusivity, and ensure we consider the needs of all our members, please consider the
above question. As we have recently adjusted the process of demographic data collection
in order to be as respectful and inclusive as possible, we welcome feedback for further
development of the process. Please provide any comments in the feedback question
below.
Other gender*
Please specify the gender.
Date of Birth*
Feedback
As we have recently adjusted the process of demographic data collection in order to be
as respectful and inclusive as possible, we welcome feedback for further development of
the process. Please provide any comments, including if you would prefer to self-identify
for the ethnicity question above.
Current Academic Rank:*
Select Academic Rank
Adjunct
Assistant Professor
Associate Professor
Clinical Professor
Instructor
Lecturer
Postdoctoral Fellow
Professor
Research Assistant
Research Associate
Research Fellow
Research Professor
Senior Investigator
Staff Clinician
Staff Scientist
Other
Affiliation Type:*
Select Affiliation Type
Academic Institution
Government Organization
Pharmaceutical Industry
Other
Select Reseach Type:*
Select Research Type
Basic
Clinical
Translational
Select Areas of Interest
Acetylcholine Addiction
Substance Abuse Aging
Geriatrics Alcohol & Alcoholism
Alzheimer's Disease
Animal Models
Behavioral Science
Psychiatry
Cannabinoids
Catecholamines
Chronobiology
Sleep Clinical Pharmacology
Clinical Trials Cognition Depression
Unipolar / Bipolar Development
Developmental Disorders Dopamine Drug Discovery
Development Eating
Metabolis Disorders Epidemiology GABA
Glutamate
Imaging,Clinical or Preclinical Learning
Memory Molecular
Cellular Neurobiology Mood
Anxiety
Stress Disorders Movement
Disorders
Neuroanatomy
Neurochemistry
Neurodegeneration
Neuroprotection
Neuroendocrinology
Neurogenetics
Neurology
Neuropeptides
Neuropharmacology
Neurophysiology
Neurotransmitters
Opioids Pain
Analgesics Pharmacogenetics
Pharmacogenomics Plasticity Psychiatry
Behavioral Sciences Psychopharmacology
Psychostimulants Receptor Pharmacology Schizophrenia
Antipsychotics Second Messengers Serotonin Sexual Behavior
Related Disorders Signal Transduction Transporters
Press Ctrl key and click on area of interest to select multiple.