Research Assistant Application
Depression Treatment and Research (DRT) Program
Department of Psychology
University at Buffalo, State University of New York
Park Hall 185
Buffalo, NY 14260
Lab Director: John E. Roberts, Ph. D
Thank you for your interest in applying to the DRT Program! Please complete the
following application and email it along with a CV or resume and a copy of your unofficial
transcript to John Roberts (robertsj@buffalo.edu). We will review your application and may contact
you for additional information or to schedule an interview.
Contact Information
Date:
Name:
Email:
Phone Number:
General Academic Information
University:
Year in School:
Major(s):
Major GPA:
Cumulative GPA:
Freshman / Sophomore / Junior / Senior / Post Bac
Relevant Coursework
Please list all relevant coursework (i.e., psychology, statistics) you have completed.
Course Title
Grade
Computer and Technical Experience
Word
Excel
Access
Powerpoint
PsycInfo
SPSS
SAS
R
Psychophysiological equipment (what kind?):
___________________
Other: ________________
None
None
None
None
None
None
None
None
/
/
/
/
/
/
/
/
Minimal
Minimal
Minimal
Minimal
Minimal
Minimal
Minimal
Minimal
/
/
/
/
/
/
/
/
Familiar
Familiar
Familiar
Familiar
Familiar
Familiar
Familiar
Familiar
/
/
/
/
/
/
/
/
Proficient
Proficient
Proficient
Proficient
Proficient
Proficient
Proficient
Proficient
None / Minimal / Familiar / Proficient
None / Minimal / Familiar / Proficient
Additional Information
Volunteer Position / Research Credit /
What position are you applying for?
How long (i.e., months or years) can you commit to this position?
How many hours per week can you commit to the lab?
When are you interested in starting in the lab?
Which of the following IRB training course have you completed?
___ CITI Human Subjects Research Course (online CITI course)
___ Social and Behavioral Responsible Conduct of Research Course (online CITI
course)
___ Good Clinical Practice Course (online CITI course)
___ Good Research Practice (in-person training course)
Availability
Please indicate the times you ARE available to work in the lab.
Time
Monday
Tuesday
Wednesday
Thursday
9:00 – 10:00 A.M.
10:00 – 11:00 A.M.
11:00 – 12:00 A.M.
12:00 – 1:00 P.M.
1:00 – 2:00 P.M.
2:00 – 3:00 P.M.
3:00 – 4:00 P.M.
4:00 – 5:00 P.M.
5:00 – 6:00 P.M.
6:00 – 7:00 P.M.
7:00 – 8:00 P.M.
8:00 – 9:00 P.M.
Friday
Why are you interested in joining the DRT Program?
What type of research experiences do you expect or hope to obtain in the lab?
Please describe your research interests and any current or prior research experience.
What are your plans following graduation (or long-term goals if you are a senior or post-bac)?
Reference No.1
Name:
Relation to you:
Email:
Phone Number:
Reference No.2 (if available)
Name:
Relation to you:
Email:
Phone Number: