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Vieira Lab Research Assistant Application Form
Please complete this form if you are interested in working in the Vieira Lab at CSUDH.
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* Indicates required question
Email
*
Your email
Name
*
Full name (First, Last)
Your answer
Email (school/personal)
*
name@csudh.edu/@gmail.com
Your answer
Phone
Your answer
Student ID#
Your answer
Major/Minor
Your answer
GPA
Cumulative/Major
Your answer
Year in program
*
Choose
Freshman
Sophomore
Junior
Senior
Post-bac
Graduate Student
Other
Expected date of graduation:
MM
/
DD
/
YYYY
Goals & Availability
(please provide concise answers)
What are your long-term goals?
Your answer
Why are you interested in this position?
*
Your answer
How many hours per week do you have to commit to research in our lab?
*
6 (min. req.)
7
8
9
10
11
12+
Required
Frequently, data collection opportunities will take place in the evening and on weekends. Would you be able to work during these hours?
*
Definitely Yes
Maybe
Definitely No
Required
Data collection may also take place at various sites, including CSUDH, CSULA, CSULB, UC Los Angeles and UC Santa Barbara. Are you willing/able to commute to these locations for lab work?
Yes
No
Maybe
Clear selection
Are you interested in getting research units?
i.e. course credit for work in the lab
Yes
No
If Yes, indicate the number of units (3hrs of lab time required per unit):
1
2
3
4
Clear selection
Research and Related Experience
Do you have any prior research experience?
Yes
No
If you checked Yes, please briefly describe your research experience.
Your answer
Do you have any experience working with lab animals?
e.g. rodents
Yes
No
If yes, please describe your experience working with lab animals:
Your answer
Do you have experience working with potential hazards?
Yes
No
If yes, please briefly describe your experiences working with hazards.
Your answer
Please list any other special skills that you have that would help you as a Research Assistant:
(e.g., data analysis, computer skills, wet lab techniques etc.)
Your answer
Is there any reason (including legal) that you would have difficulty working in environments with controlled substances/drugs of abuse?
Yes
No
If you answered "Yes" please explain.
Your answer
Please indicate courses you have completed:
PSY 101: INTRO PSYCHOLOGY
PSY 230: STATISTICS
PSY 235: RESEARCH METHODS
PSY 240: BIOPSYCHOLOGY
PSY 320: PSYCHOPHARMACOLOGY
PSY 330: INTERMEDIATE STATISTICS
PSY 417: ADV RESEARCH METHODS IN BIOLOGICAL PSYCHOLOGY
PSY 418: RESEARCH SEMINAR IN BIOLOGICAL PSYCHOLOGY
BIO 102: GENERAL BIOLOGY
BIO 103: GENERAL BIOLOGY LAB
BIO 120/121: PRINCIPLES OF BIOLOGY I (W/ LAB)
BIO 220/221: MOLECULAR BIOLOGY (W/ LAB)
BIO 250/251: ANATOMY AND PHYSIOLOGY (W/ LAB)
BIO 312/313: ANIMAL PHYSIOLOGY (W/LAB)
BIO 370: BIOLOGICAL BASIS OF HUMAN BEHAVIOR
BIO 374: DRUG ABUSE
CHE 110: GENERAL CHEMISTRY I
CHE 112: GENERAL CHEMISTRY II
CHE 450/451: BIOCHEMISTRY (W/LAB)
Other:
If you selected any courses above, please indicate what grade you received for each course:
e.g. PSY 1: A-
Your answer
Thank you for taking the time to fill out this application. We will contact you as soon as we can. If there are no current positions available, would you like us to contact you for a future position?
Yes, please contact me as soon as a position becomes available in the future.
No, I will not be available in future semesters.
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