Dr. Grant's LEAP Lab Undergraduate Research Application

Please complete the following application in detail.

Date Date / MM / DD YYYY
Name Name First Last
Email
How often do you check your email address?
Phone Phone - ### - ### ####
Is this a cell phone?

Is this a cell phone? No Yes
Can you be contact by text message for laboratory business?

Can you be contact by text message for laboratory business? No Yes
Academic Information
Major(s)
Minor(s) if any
Class

Class Freshman Sophomore Junior Senior Other, please explain Other, please explain
Anticipated Graduation Date: (Spring/Fall, Year)
GPA (Overall)
GPA (Within Major)
Please list any coursework and grades you have received related to relevant research activities (e.g., statistics, experimental methods, neuroscience, psychopathology, etc.)
Are you in good academic standing with the university?

Are you in good academic standing with the university? No Yes
If no to academic good standing, please explain
Have you ever received consequences related to academic conduct, behavior or other violations?

Have you ever received consequences related to academic conduct, behavior or other violations? No Yes
If yes to consequences, please explain
Past Experience
Do you have previous research experience?

Do you have previous research experience? No Yes
If yes to previous research, please list location, lab name, lab director and your role.
If yes to the previous question, if we contacted those with whom you have worked previously, should we expect to receive a positive impression of your ability to assist in research? Please briefly explain.
Additional Information
Briefly describe your academic/career goals.
Do you plan to gain course credit (e.g., PSYC4990) through participation in the lab?

Do you plan to gain course credit (e.g., PSYC4990) through participation in the lab? No, I would just like to volunteer Yes, I plan to register for course credit
Do you anticipate any difficulty with hands-on interactions with participants?

Do you anticipate any difficulty with hands-on interactions with participants? No Yes
If yes to anticipated difficulty, please explain
Availability
Which term(s) (Fall, Spring, Summer) do you wish to participate? (Please indicate term and year)
Please list the hours (days and times) you have available to work at LEAP during the first term you want to work. Please provide a minimum of 8 hours in at least 2-hour blocks between the hours of 9AM-6PM, Monday–Friday
Declaration
I hereby declare that the foregoing information that I have provided is true and complete.

Draw or Type your signature into the box below.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Upload a copy of your curriculum vitae or resume.

Attach Files

Dr. Grant's LEAP Lab Undergraduate Research Application

Dr. Grant's LEAP Lab Undergraduate Research Application

Academic Information

Past Experience

Additional Information

Availability