This Form May Be Printed and Completed in Handwritten Form

This Form May Be Printed and Completed in Handwritten Form

<p> Child Emotion Research Laboratory Undergraduate Student Application</p><p>This form can be completed and sent via e-mail to Anna Bechner at [email protected] Please save it with your last name as the name of the file.</p><p>Include a copy of your Unofficial Student Record (USR). Please see the registrar’s website on how to obtain unofficial transcripts: http://registrar.wisc.edu/student_record.htm</p><p>Freshmen may provide a copy of a high school transcript.</p><p>Date: ______Student ID #: ______Name: ______Address: ______Telephone: ______E-mail: ______Major: ______Overall GPA: ______Major GPA: ______Semesters Completed:______Expected Graduation Date: ______How many hours/research credits are you interested in? ______If you are responding to a specific research posting for this lab, please list the name of the contact person: ______</p><p>Computer Background: </p><p>Please list the operating systems, software, or programming languages with which you are familiar: </p><p>Experience and Academic Interests</p><p>Please provide a brief description of your academic interests:</p><p>What kind of research are you most interest in? Briefly, what are your goals after graduation: </p><p>Please describe any previous experience you have working with children:</p><p>Do you have prior laboratory experience?: ______If so, which lab(s)?: ______</p><p>Have you completed any of the following courses? (Note honors courses with an "H"): Abnormal Psychology: ______Child Development: ______Experimental Psychology: ______Behavioral Neuroscience: ______</p><p>Please list the jobs (paid and volunteer) you have had: Job Title/Description Dates of Employment Employer/Contact person ______</p><p>References Please list two academic or work-related references (another professor, previous employer, advisor) we may contact: </p><p>Name: ______Title: ______Phone: ______Email: ______Relation to you: ______</p><p>Name: ______Title: ______Phone: ______Email: ______Relation to you: ______SCHEDULE</p><p>Please place an "X" after times when you know you cannot work in the lab: </p><p>PLEASE NOTE: * Children attend school during the day. Most of our work with children occurs between the hours of 3pm-7pm, and on weekends. All undergraduate assistants will be required to work some weekends. </p><p>*Weekly meetings for the Child Emotion Research Lab are held at the Waisman Center on Wednesdays from 9:30-11:00 during the Fall and Spring semesters. Weekly attendance is required for all undergraduate assistants. Please reserve this time in your schedule. </p><p>Semester: ______Year:______</p><p>Monday Tuesday Wednesday Thursday Friday Saturday Sunday 8:00 8:30 9:00 9:30 Required 10:00 Lab 10:30 Meeting 11:00 11:30 12:00 12:30 1:00 1:30 2:00 2:30 3:00 3:30 4:00 4:30 5:00 5:30 6:00 6:30 7:00 7:30</p>

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