Name

Email Address

Major

Phone Number

Anticipated Graduation Date

Is your current GPA at least a 3.4? Is your current GPA at least a 3.4? Yes No

Are you applying... Are you applying... for credit. as a volunteer.

How many hours a week can you commit? How many hours a week can you commit? 1-6 6-10 10+

Can you commit for at least two semesters? Can you commit for at least two semesters? Yes No

Can you commit for the summer semester? Can you commit for the summer semester? Yes No

How did you hear about us?

What psychology courses have you taken (/are currently taking) and who were (/are) your professors for those courses?

Do you have any research experience? If so, with whom? Briefly describe.

Why do you want to become involved in our Lab? What are you hoping to get out of this experience?