Undergraduate Research Assistant Job Application

Please use the PRINT command in your web browser to print a copy of this form, fill it out, and return to Eileen Zurbriggen (mailbox in 277 Social Sciences 2) or the graduate student with whom you hope to work.
Name 
Phone Number  Email 
Year in school  Expected date of graduation 
Major/minor  GPA
Emergency Contact Person and Phone Number 

Please provide at least 2 references we may contact.
Name 
Phone Number 
Email Address 
Relationship 
How long acquainted? 

Note: Your responses to the following questions are on a voluntary basis. You may choose to skip any question you are not comfortable answering.

1. What is your professional goal?
 
 
 
 
 
 

2. Why do you want to work in this lab/on this project?
 
 
 
 
 
 
 

3. What are your research interests?
 
 
 
 
 
 

4. Describe your work experience (include research related experience)
 
 
 
 
 
 
 

5. Describe your experience with computers (e.g.: mac or windows platform, applications, programming languages, etc.)
 
 
 
 
 
 
 

6. What psych classes have you taken (please give course number, course title, instructor, and grade you received)?
 
 
 
 
 
 
 
 
 

7. Are there other classes you have taken that you feel are relevant?
 
 
 
 
 

8. Please describe your research related skills.
 
 
 
 
 
 

9. Anything else you want us to know?
 
 
 
 
 
 
 

10. If you are willing, we would appreciate a copy of your transcript.

Form last revised: 31 May 2006