Research Assistant Application Form

Cognitive Development Lab

UNDERGRADUATE RESEARCH ASSISTANT APPLICATION FORM

(1) Name: ______

(2) Phone: ______E-mail: ______

(3) Year in school: ______

(4) Do you have any experience interacting with children? If so, describe briefly.

(5)  Do you have any experience interacting with people over the phone? Describe.

(6) Have you had any previous research experience? Yes ______No______

(Please note: previous experience is not necessary.)

Who was your faculty mentor? ______

(7) What is your overall GPA? ______

(8) What is your Psychology GPA? ______

(9) Do you plan to apply to graduate school or professional school? Yes ____ No_____

If yes, in what topic area? ______

(10) Approximately how many hours/week are you available to work?______

(11) Are you able to work in our lab for more than one semester? Yes ____ No ____

(Please note: a two-semester commitment is required, and the first semester is probation period)

(12) If you answered yes to the previous question, please check what semesters you are applying for: Spring _____ Summer______Fall ______

(13) Do you have experience with any of the following: programming, web design, and photo/video editing? Yes ____ No ____

If you answered yes, please specify ______

(14) Do you have a car? ______

(Please note: a car is NOT required but it can sometimes be beneficial for getting to testing sites)

PLEASE CONTINUE ON THE BACK Þ

YOUR SCHEDULE

To help us with our planning, please indicate the days and times that you will be available for working in the lab. You may not know your final schedule at this time, but please give us your best estimate of when you think you’ll be available.

Spring ______:

Please indicate the times that you will be available and willing to work between 8:30AM and 6PM:

Monday: ______

Tuesday: ______

Wednesday: ______

Thursday: ______

Friday: ______

Saturday: ______

Summer ______:

Please indicate the dates during which you will be in Pittsburgh and available to work (for example, June 1 – August 15): ______

Please indicate the times that you will be available and willing to work between 8:30AM and 6PM:

Monday: ______

Tuesday: ______

Wednesday: ______

Thursday: ______

Friday: ______

Saturday: ______

Fall______:

Please indicate the times that you will be available and willing to work between 8:30AM and 6PM:

Monday: ______

Tuesday: ______

Wednesday: ______

Thursday: ______

Friday: ______

Saturday: ______