1 The New School Center for Psychotherapy Research Jeremy D. Safran, Ph.D. Department of Psychology The New School http://www.safranlab.net/ Please send the completed application as well as your CV to Dr. Jeremy Safran (safranj@newschool.edu) and Erica Gardner-Schuster (garde946@newschool.edu). We will contact you once we have received your application. LAB MEMBERSHIP APPLICATION Name: Date: Email: Phone: Degree: GPA (graduate and/or undergraduate): Program: Year in Program: Are you currently employed: Where: Hours per week: Do you have Federal Work Study hours that you would like to use as an RA: Our lab requires that RA’s be available on Fridays for coding group meetings. RA’s are expected to devote 15 hours per week to the lab and to make a 2-year commitment. Are you able to make these commitments? What is your availability throughout the week? Are you involved in any other labs at NSSR or elsewhere? Previous Research Experience and research skills: (Please indicate any research skills that might be particularly relevant to working in our lab. For example, data analysis skills, previous experience conducting psychotherapy research, familiarity with psychotherapy research literature, experience using observational coding systems, experience in previous research labs, experience writing/publishing, administrative experience): 2 What are your long-term career goals? Please describe why you are interested in working in this lab. Are there certain aspects of the research we are conducting here that are of particular interest to you? Are there specific articles or Ph. D. dissertations that have come out of this lab that are particularly intriguing to you? Are there specific theoretical and/or research interests you have that seem compatible with the research we are doing? Thank you!