Child Emotion Research Laboratory

Undergraduate Student Application

This form can be completed and sent via e-mail to Anna Bechner at Please save it with your last name as the name of the file.

Include a copy of your Unofficial Student Record (USR). Please see the registrar’s website on how to obtain unofficial transcripts:

Freshmen may provide a copy of a high school transcript.

Date: ______Student ID #: ______

Name: ______

Address: ______

Telephone: ______E-mail: ______

Major: ______Overall GPA: ______Major GPA: ______

Semesters Completed:______Expected Graduation Date: ______

How many hours/research credits are you interested in? ______

If you are responding to a specific research posting for this lab, please list the name of the contact person: ______

Computer Background:

Please list the operating systems, software, or programming languages with which you are familiar:

Experience and Academic Interests

Please provide a brief description of your academic interests:

What kind of research are you most interest in?

Briefly, what are your goals after graduation:

Please describe any previous experience you have working with children:

Do you have prior laboratory experience?: ______If so, which lab(s)?: ______

Have you completed any of the following courses? (Note honors courses with an "H"):

Abnormal Psychology: ______Child Development: ______

Experimental Psychology: ______Behavioral Neuroscience: ______

Please list the jobs (paid and volunteer) you have had:

Job Title/Description Dates of Employment Employer/Contact person

______

References

Please list two academic or work-related references (another professor, previous employer, advisor) we may contact:

Name:______Title:______

Phone:______Email:______

Relation to you:______

Name:______Title:______

Phone:______Email:______

Relation to you:______

SCHEDULE

Please place an "X" after times when you know you cannot work in the lab:

PLEASE NOTE:

* Children attend school during the day. Most of our work with children occurs between the hours of 3pm-7pm, and on weekends. All undergraduate assistants will be required to work some weekends.

*Weekly meetings for the Child Emotion Research Lab areheld at the Waisman Center on Wednesdays from 9:30-11:00 during the Fall and Spring semesters. Weekly attendance is required for all undergraduate assistants. Please reserve this time in your schedule.

Semester: ______Year:______

Monday / Tuesday / Wednesday / Thursday / Friday / Saturday / Sunday
8:00
8:30
9:00
9:30 / Required
10:00 / Lab
10:30 / Meeting
11:00
11:30
12:00
12:30
1:00
1:30
2:00
2:30
3:00
3:30
4:00
4:30
5:00
5:30
6:00
6:30
7:00
7:30