Application for 198 and 199 Research in Burley Lab Directions: Fill out all parts of this application and return it and a resumé to Keri Murphy (kkmurphy@uci.edu). If eligible for a position, you will be contacted via email for an interview. Incomplete applications will not be considered. To be eligible for the lab, you must be comfortable with being around and handling birds, have no known allergies to feathers or dust, have no known problems seeing colors, and have completed both the 194S and Bio 94 courses. You will also need a reliable form of transportation to our aviary, which is on North Campus (~2 miles from main campus; corner of Jamboree and Campus Dr). Name: _________________________________ Email: _________________________ Phone: ___________________ Year entered UCI: _____ Transfer student? ____Expected graduation date: _________ G.P.A.: ____ Major: ________________ Career plans: __________________________ Have you completed Bio 94? __________ Have you completed Bio 194S?__________ Quarter you are interested in starting to work in this lab: ______ Number of units (enrolled for other classes: _______ . Students who can participate in research over summer are given preference for interviews and acceptance. Will you be available to participate in research during the summer?____________ Do you currently have a job and/or internship? If so, briefly state where you hold a position and what your duties are: How many hours per week do you work at a job/internship ? ___________ List all current and previous 198 and 199 experience (prof/dept/dates/major duties). How many previous quarters of 198 or 199 research have you done? __________ Do you have a car? ___ If not, could you ride a bike to North Campus? ______ Check all of the following that apply: ______ I have excellent vision and do not need contact lenses or glasses. ______ I wear contact lenses or glasses and with them I see well. ______ I have some problems seeing colors. Explain: _________________________ Revised December 2014 ______ I regularly have problems seeing the blackboard/whiteboard in class. Rate your manual dexterity on a scale of 1 (“all thumbs”) to 5 (“brain-surgeon worthy”), with a short description of the basis of your self-rating: ____________________________________________________________________ (e.g., “ 5 – I love to play games like Jenga and pick-up sticks and always win easily”; “1 – “1 – I’ve tried hobbies that require this skill (painting Warhammer figurines, playing guitar, knitting) and always get frustrated.) What is the main reason you are interested in participating in this research? Research in this lab is conducted in 3-hour blocks of time with a set weekly schedule for the entire quarter, including finals week. Students enroll for 3 units and work in the lab 3 times a week, for a total of 9 hours per week and 99 hours per quarter. There are no homework assignments. All lab work must be done between 7:00 am and 5:00 pm. The lab is open seven days per week, throughout the year, including holidays. Schedule Availability: In the table provided below, please cross out any hour-long block of time that you will NOT be able to work in the lab for each day of the week. Monday 7–8 8–9 9 – 10 Tuesday 7–8 8–9 9 – 10 Wednesday 7–8 8–9 9 – 10 Thursday 7 –8 8–9 9 – 10 Friday 7 –8 8–9 9 – 10 Saturday 7 –8 8–9 9 – 10 Sunday 7 –8 8–9 9 – 10 10 – 11 10 – 11 10 – 11 10 – 11 10 – 11 10 – 11 10 – 11 11 – 12 11 – 12 11 – 12 11 – 12 11 – 12 11 – 12 11 – 12 12 – 1 12 – 1 12 – 1 12 – 1 12 – 1 12 – 1 12 – 1 1 –2 1 –2 1 –2 1 –2 1 –2 1 –2 1 –2 2–3 2–3 2–3 2–3 2–3 2–3 2–3 3–4 3–4 3–4 3–4 3–4 3–4 3–4 4–5 4–5 4–5 4–5 4–5 4–5 4–5 Thank you for your interest in our lab. When you have completed filling out this application, please email it to Keri Murphy (kkmurphy@uci.edu). Revised December 2014