Name:

Year in school:

Phone number:

Email:

Cumulative GPA:

Major:

Major GPA:

Psychology classes taken:

Neuroscience and Biology classes taken:

How many semesters are you willing to work in the lab?

How many hours per week do you plan to work?

Are you willing to work over the summer?

Computer skills:

How comfortable are you with computers? Extremely Moderately Not very

For each of the following types of programs, indicate whether you have used them
and which specific ones:

Word Processing: Yes No Specific programs (e.g. MS Word)

Statistics: Yes No Specific programs (e.g. SPSS)

Spreadsheet: YesNo Specific programs (e.g.Excel)

Presentation:YesNo Specific prgrams (e.g.Powerpoint)

Web page developmentYesNo Specific programs (e.g. Front Page)

GraphicsYesNo Specific programs (e.g. Sigma Plot)

Reference ManagerYesNo Specific Programs (e.g. EndNote)

Other Programs (please describe)

Have you ever worked with children? YesNo

If yes, please describe:

Do you have any other skills or experiences that you think
would be helpful in our research lab?

Please describe any specific research experiences you have had.
Have you worked in any other labs on campus?

Why do you want to work in our lab?

What are your plans after graduation?

Please tell us anything else about yourself that you think
might help us to decide whether our lab would be a good fit for you:

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