NIELSON (AIM) LAB RESEARCH ASSISTANT APPLICATION
Return to Dr. Nielson: kristy.nielson@marquette.edu
Personal Information
Name: _______________________________________________________________________
E-mail Address: ______________________________
Local Phone #: __________________
Local Address: ________________________________________________________________
Permanent Phone #: ___________________
Permanent Address: ____________________________________________________________
Major: _________________
Year in Program: ___________ Adviser:__________________
Research History
Please list your current and previous research experience. Include the faculty member whom
you worked under and include a brief description of your role.
Faculty Member
Brief Description of Role
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Academic History
Please list the psychology, science, and statistics courses that you have taken, the Professor’s
name, and your final grade. Please include courses that you are currently taking.
Course Number/Name
Professor’s Name
Final Grade
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Academic History Continued
Course Number/Name
Professor’s Name
Final Grade
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Work History
Please list current and previous work experience. Include your employer’s name and phone
number, supervisor’s name, dates of employment, and brief job description.
Employer’s Name/Phone #
Supervisor’s Name
Dates
Job Description
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Current Goals
What are your goals as a Research Assistant on this project? Why are you interested in MY lab?
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Future Goals
What do you plan to do after graduation? Do you plan to continue with the field of psychology,
and if so, what do you see yourself doing?
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Schedule
Please list times when you could be available next semester – including evenings. (Please
include all possible hours. You will not be expected to work all these hours, but we need to see
the options in your schedule because we often have to match up more than one RA on each
project. Try to project your schedule, even if you haven’t signed up for classes yet. Thanks.)
Monday: _______________________________
Friday: _____________________________
Tuesday: _______________________________
Saturday: ___________________________
Wednesday: ____________________________
Sunday: ____________________________
Thursday: ______________________________
Personal References
Please provide three people who know you well. Include their relationship to you and their
phone number. Please do not include family members.
Name
Relationship
Phone #
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