The Grych Research Lab: Research Assistant Application Date:_______________ Personal Information 1. Name: 2. Email: 3. Phone Number (Home/Cell): 4. Major/Minor: 5. Year in School 6. Major GPA: 7. Overall GPA: 8. For the upcoming semester, I am seeking (please circle one): *4956 credit (# of credits:___) Volunteer 1 credit equals 3 hours of time per week, with 3 credits/9 hours max; volunteers are asked to commit to at least 3 hrs/wk Research Experience: Faculty Supervisor 1. Project Your Role Professor Final Grade 2. Psychology Classes: Course Name: 1. 2. 3. 4. 5. 6. Work Experience (you may also attach a resume or CV) Employer Supervisor’s Name 1. Dates Your Role 2. 3. Please briefly describe why you’re seeking to be a Research Assistant in the Grych Lab: References: Name 1. Relationship Phone Number Email 2. 3. Please return this application to Dr. Grych in Cramer Hall 328D (under the door is fine). You will be contacted about interviews with further details.