Pediatric Psychology Behavioral Health Lab Research Assistant Application
Pediatric Psychology Behavioral Health Lab Research Assistant Application
Please complete this application.
Date
Date
*
/
MM
/
DD
YYYY
Name
Name
*
First
Last
Address
Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
United States
United Kingdom
Canada
Australia
Netherlands
France
Germany
-------
Afghanistan
Albania
Algeria
Andorra
Antigua and Barbuda
Argentina
Armenia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
Gabon
Gambia
Georgia
Ghana
Gibraltar
Greece
Grenada
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
New Zealand
Nicaragua
Niger
Nigeria
Norway
North Korea
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Korea
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Phone
Phone
*
-
###
-
###
####
Email
*
Major
*
GPA
*
Major GPA
*
Semesters Completed
*
Expected Graduation Date
Expected Graduation Date
*
/
MM
/
DD
YYYY
How many semesters can you commit to this position?
*
Will you be a registered student during the summer?
*
Will you be a registered student during the summer?
No
Yes
Will you be available to work in the lab during the summer?
*
Will you be available to work in the lab during the summer?
No
Yes
Computer Background: Please check or list the operating systems/software/programming languages that you have experience using.
*
Computer Background: Please check or list the operating systems/software/programming languages that you have experience using.
MS Excel
MS Powerpoint
MS Word
PC Windows
MAC
SPSS
SAS
Other
Other
What are your plans after graduation and how do you think being a member in the lab will contribute to this?
*
What kind of research are you most interested in (e.g., specific chronic conditions, psychosocial adjustment in youth/parents, illness specific behaviors, obesity, health behaviors, etc.)?
*
Please describe the training experience you would like to have in the lab (e.g., running research studies, completing research applications, designing your own study, analyzing data, etc.).
*
What are you applying to work in the lab to get? Please check all that apply.
*
What are you applying to work in the lab to get? Please check all that apply.
Credit
A recommendation Letter
Experience
Other, Please describe
Other, Please describe
Semster and Year
*
Please select times that you know you CANNOT work.
*
Please select times that you know you CANNOT work.
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
8:00 a.m.
8:00 a.m.
Monday
8:00 a.m.
Tuesday
8:00 a.m.
Wednesday
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Thursday
8:00 a.m.
Friday
8:00 a.m.
Saturday
8:30 a.m.
8:30 a.m.
Monday
8:30 a.m.
Tuesday
8:30 a.m.
Wednesday
8:30 a.m.
Thursday
8:30 a.m.
Friday
8:30 a.m.
Saturday
9:00 a.m.
9:00 a.m.
Monday
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Tuesday
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Wednesday
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Thursday
9:00 a.m.
Friday
9:00 a.m.
Saturday
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9:30 a.m.
Monday
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10:30 a.m.
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10:30 a.m.
Saturday
11:00 a.m.
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Saturday
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8:30 p.m.
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What other obligations do/will you have to fulfill simultaneous to being a member of this lab?
*
How do you plan to balance these expectations and manage your time?
*
Please list a weakness and strength of yours and how these may impact your performance in the lab.
*
What do you feel you can bring to the lab?
*
If you have a curriculum vitae or resume please include this with your application.
Attach Files