Undergraduate Research Assistant Application PSYC 485 Independent Study Dr. Mounts’ Adolescent Social Development Research Lab Contact Information Name Street Address City ST ZIP Code Cell Phone E-Mail Address Background Information Overall GPA Psychology GPA University Honors? Yes or No Psychology Honors? Yes or No Anticipated date of graduation Preference for number of PSYC 485 credits to take 2 (5-7 hrs/wk) or 3 (10 hrs/wk) (3 hours is recommended) Semester availability Fall 2012 Class status Sophomore or Junior or Senior or Super Senior Do you plan on going to graduate school? If yes, what do you intend to study? Yes or No Clinical or School or I/O or Developmental or Social or Cognitive or Other Have you taken Research Methods? Yes or No Do you know how to use PsycInfo? Yes or No Do you know how to use SPSS? Yes or No Spring 2013 Fall 2012 and Spring 2013 Availability Please indicate, as specifically as possible, what times in your schedule you are available (mark with X). Monday Tuesday Wednesday Thursday Friday 8AM-9AM 9AM-10AM 10AM-11AM 11AM-12PM 12PM-1PM 1PM-2PM 2PM-3PM 3PM-4PM 4pM-5PM 5PM-7PM 7PM-9PM Special Skills or Qualifications Summarize special skills and qualifications you have acquired from courses, previous research experience, volunteer work, or through other activities. Psychology Interests Summarize your interests in psychology. Thank you for completing this application form and for your interest in research. Please return this application via email [email protected] Call (815)753-6968 if you have questions or email Dr. Mounts.