Nu Rho Psi is the National Honor Society in Neuroscience, founded in 2006 by the international society Faculty for Undergraduate Neuroscience. The purpose of Nu Rho Psi is to: (1) encourage professional interest and excellence in scholarship, particularly in neuroscience;  (2) award recognition to students who have achieved such excellence in scholarship; (3) advance the discipline of neuroscience; (4) encourage intellectual and social interaction between students, faculty, and professionals in neuroscience and related fields; (5) promote career development in neuroscience and related fields; (6) increase public awareness of neuroscience and its benefits for the individual and society; and (7) encourage service to the community.

(Street, City, State, Zipcode)
(based on credit hours)
(Class number format: NRSC XXXX, NRSC XXXX, NRSC XXXX)
(Check if completed)
(Print full name)