UCR Cognitive Development Project - Winter 1998

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Please return application to Julienne Palbusa
in the Psychology Department’s main office (her mailbox),
or email it to jpalb001@ucr.edu
Lab: Psychology Building Room 2136
UCR Cognitive Development Lab
Application for Undergraduate Research Assistant
Name: ________________________________
Date: _________________________
Address:______________________________
Phone:________________________
SID# _______________________________
Email: ________________________
Major: ___________________________
Year in school: (circle one) Freshman Sophomore Junior Senior
Overall GPA: _______ Psychology GPA: ______ # RA Units:____ Grade or S/NC: ______
Psychology classes taken: ________________________________________________________
_________________________________________________________
Research experience or other relevant experience: _____________________________________
______________________________________________________________________________
Why are you applying to do research with the Cognitive Development Project? _____________
______________________________________________________________________________
______________________________________________________________________________
Are you available over school breaks? ______
Can you make a year-long commitment to the project? ______
Please place an X where you are unavailable (include all commitments including work, etc)
Mon
Tues
Wed
Thurs
Fri
Sat
8-9
9-10
10-11
11-12
12-1
1-2
2-3
3-4
4-5
5-6
6-7
7-8
______________________________________________________________________________
Verification: GPA: overall______ Psychology ______
Intake staff/date: _________/______
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