Anxiety Disorders Research Program

Personal Information

• Date:
• First Name:
• Last Name:
• Home Phone:
• Cell Phone:
• Work Phone (if any):
• E-mail:
• Year in School: Freshman Sophomore Junior Senior BS BA
• Major:
• Minor:
• Overall GPA:
• Psychology GPA:
• Are/were you in the Psychology Honors Program? Yes No
• Are/were you a member of Psi Chi? Yes No
• If yes, are/were you an officer in Psi Chi? Yes No
• Which Psi Chi positions or have you held?

Availability

• Available to start on (month/year)
• I would like to work: 1-3 hrs/wk, not more 3-6 hrs/wk, not more 6-9 hrs/wk, not more at least 3-6 hrs/wk, more if needed to get job done
• Requesting Course Credit (297/397)? Yes No

Educational Goals

• Do you plan on attending graduate school? Yes No

If yes, please complete the following:

• What area of psychology most interests you?
• What degree do you hope to obtain? Ph.D. (Doctorate) Psy.D. (Doctorate of Psychology) M.A. (Masters Degree) M.S.W. (Masters in Social Work)
• When do you plan to enter graduate school? Immediately after undergraduate work Soon, perhaps after working for awhile Not sure, I'll probably take some time off
• What do you think is most relevant to your interest from above? Teaching experience Teaching and Research Experience Research Experience Clinical Experience Combination of Teaching, Research, and Clinical Experience
• None of these/other

• What are your short and long term academic or career plans?


• Please briefly describe your reasons for wanting to do research in this laboratory.

Skills

Below is a list of general skills that you may already have or may learn by participating in this research laboratory. For now, please check those skills that you already feel competent in doing:

• Using Windows/PC
• Work with Clinical Populations
• Library Searches
• Lit Reviews
• Understand Ethics of Research
• Performing Data entry
• Score/Interpret Self-Report Measures
• Working with Human Subjects
• SPSS
• Planning or designing of research
• Publishing as Coauthor
• Conference Presentations/posters
• Presenting Conference Papers
• Psychophysiological Research
• Computer Programming

• Please list all psychology classes you have completed along with grades, and psychology classes currently
  enrolled in with expected grades (i.e., APSY101 Intro to Psych A, APSY328 Social Cog C...)Completed Classes: Current Classes:
• Briefly describe your past research experience (if any), and note any special skills you might have (e.g., word processing, data entry/analyses, helping with design of experiments, etc.)

Tell Us About Yourself

• The easiest part of college is:
  


• The hardest part of college is:
  


• How do you handle/cope with stress?
  


• The best way to cope with an anxiety problem is:


• Please describe anything else about yourself that you feel may help us to evaluate your application for a Research Assistant Position.