Human Performance/Clinical Research Lab

Colorado

State

University

Human Performance/Clinical Research Lab

Department of Health and Exercise Science

Fort Collins, Colorado 80523-1582

(970) 491-3847

FAX: (970) 491-7677

Application for Volunteer Position

Please indicate in which laboratory area you would like to have your experience from the list below:

  Biochemistry Laboratory (Matt Hickey, Ph. D./Tracy Nelson, MPH, Ph. D.)

  Cardioprotection Research Laboratory (Karyn Hamilton, Ph. D.)

  Clinical Biomechanics Laboratory (Raoul Reiser, Ph, D.)

  Heart Disease Prevention Program (Tiffany Lipsey M. Ed.)

  Human Cardiovascular Physiology Laboratory (Frank Dinneno, Ph. D.)

  Integrative Biology Laboratory (Chris Bell, Ph. D.)

  Neuromuscular Function Laboratory (Brian Tracy, Ph. D.)

  Skeletal Muscle Physiology Laboratory (Ben Miller, Ph. D.)

  Other (please specify) ______

Please contact the director of your preference area for availability and any specific requirements not on this form.

Name ______

First Middle Last

Mailing Address ______

Street

______

City State Zip Code

School Phone ______Permanent Phone ______

College/University ______Email ______

Major field of study ______Overall GPA ______

Minor or related field ______Major GPA ______

Academic Level Fr So Jr Sr Grad PhD Graduation date ______

Computer skills ______

Preferred Dates ______

Total Number of Weeks Preferred ______(10 week minimum)

Total Number of Hours per week preferred ______

How did you hear about the program? ______

The following must be provided to complete the application procedure:

CSU HES applicants

Resume

Information about the requirements of your program

Current transcript

Cover letter addressing career aspirations and goals for this position

Copy of CPR certification (for Heart Disease Prevention Program experience only)

 Two written academic references in major field (email is acceptable)

 Schedule detailing your academic, work and other responsibilities and the hours that you would like to be in the practical experience

Applicants outside of CSU HES

Resume

Current transcript (for CSU applicants, a ARIESweb printout is acceptable)

Cover letter addressing career aspirations and goals for this position

Copy of CPR certification (for Heart Disease Prevention Program experience only)

 Two written academic references in major field (email is acceptable)

 Schedule detailing your academic, work and other responsibilities and the hours that you would like to be in the practical experience

Signature of Applicant ______Date ______