Clinical Psychophysiology Lab (CPL) Volunteer Application

Clinical Psychophysiology Lab (CPL) Volunteer Application Please complete this form honestly and accurately, as your responses will help determine whether the CPL would be a good fit for you. E-mail the completed form to Jeff Lin, at [email protected] .

Background Information

Name: E-mail address: Major: Expected graduation date: Overall GPA: Major GPA:

Relevant Coursework Please list relevant courses that you have taken, such as Abnormal Psychology (PSY 280), Introduction to Clinical Psychology (PSY 312), Brain and Behavior (PSY 209), Cognitive Psychology (PSY 200), Data Analysis in Psychological Research (PSY 295), Research Design and Measurement (PSY 395), Survey of Calculus (MTH 124) and your grades in each course: Course (number and title) Professor Grade

Interests and Experience 1. Please describe your experience (if any) with research:

2. How did you hear about our lab?

3. Why do you want to get involved in the CPL? Relevant Skills Do you have experience with any of the following? Research Methods/Design Statistics SPSS Word PowerPoint Excel Survey sites PsycINFO searches Computer Programming Computer Animation Photo/Video Editing Advertising Telemarketing or Phone Recruitment EEG Other relevant skills - please describe:

Availability Which semesters can you commit to being a part of the CPL? (check all that apply):

Fall 2017 Spring 2018 Summer 2018

Can you commit 10 hours a week to the CPL lab?

yes no

Based on your anticipated schedule for the semester when you want to start working in the lab, put an X through the times when you ARE available on the chart below: TIMES Monday Tuesday Wednesday Thursday Friday Saturday Sunday 8:00 AM 9:00 AM 10:00 AM 11:00 AM 12:00 PM 1:00 PM 2:00 PM 3:00 PM 4:00 PM 5:00 PM 6:00 PM 7:00 PM 8:00 PM

Would you be interested in and available to come in on weekends? yes no