Preschool Emotion Project (PEP)
Application for Research Assistantship (RA)
Culture and Family Study Lab
University of California, Berkeley
Spring 2015
S1- Personal/Contact Information:
Name:_______________________________________
Date:____________________
Address:___________________________________________________________________________________
City:________________________________
State:______
Zip Code:_____________________
Phone Number:________________________________ Email:_______________________________________
S2- Student Information:
Check one: ____Freshman
____Sophomore
____Junior
____Senior
First semester and year of enrollment:______________ Anticipated date of graduation: _________________
Major:_________________________________________ Minor:______________________________________
Overall GPA:__________
Number of units you are taking Spring 2015 semester:________
Are you/Do you plan on completing an Honor’s Thesis? ___ No
___ Yes, with ____________________. Please
list the Psychology courses you have completed, including those completed outside UC Berkeley.
1.__________________________________________
6.___________________________________________
2.__________________________________________
7.___________________________________________
3.__________________________________________
8.___________________________________________
4.__________________________________________
9.___________________________________________
5.__________________________________________ 10.___________________________________________
S3- Availability:
What times are you available to work weekdays and/or weekends? Please list your schedule availability to the
best of your knowledge:
I am available…
Mondays
Tuesdays
9 am – 12 pm
1 pm- 4 pm
Other:
9 am – 12 pm
1 pm- 4 pm
Wednesdays
Thursdays
Fridays
Saturdays
Sundays
9 am – 12 pm
1 pm- 4 pm
9 am – 12 pm
1 pm- 4 pm
9 am – 12 pm
1 pm- 4 pm
9 am – 12 pm
1 pm- 4 pm
9 am – 12 pm
1 pm- 4 pm
How many hours are you available to work per week (minimum of 3 hrs.)? ____ hrs.
Any travel plans for the summer? ______________________________________
Do you have access to driving a private car with California liability insurance? ___ Yes ___ No
Will you be completing your research assistantship (choose one):
☐For Psych 199 credit
☐On a volunteer basis
☐Unknown/No preference
Are you eligible for work study? ___ Yes ___ No
Are you interested in continuing this RA-ship into the Summer term? ___ Yes ___ No
Research Assistantship Application. Page 1 of 3
S4- Foreign Language Proficiency:
Besides English, can you speak another language? _____Yes (please complete the items below)
_____ No (skip to the next section)
Please list all the foreign languages/dialects that you know and rate your levels of proficiency on a 5-point scale
(1 = beginning, 2 = intermediate, 3 = advanced, 4 = fluent, 5 = mother tongue):
Language/dialect
Speaking
Reading
Writing
1. Cantonese
2. Mandarin
3. Spanish
1__ 2__ 3__ 4__ 5__
1__ 2__ 3__ 4__ 5__
1__ 2__ 3__ 4__ 5__
1__ 2__ 3__ 4__ 5__
1__ 2__ 3__ 4__ 5__
1__ 2__ 3__ 4__ 5__
1__ 2__ 3__ 4__ 5__
1__ 2__ 3__ 4__ 5__
1__ 2__ 3__ 4__ 5__
4. French
1__ 2__ 3__ 4__ 5__
1__ 2__ 3__ 4__ 5__
1__ 2__ 3__ 4__ 5__
5.
1__ 2__ 3__ 4__ 5__
1__ 2__ 3__ 4__ 5__
1__ 2__ 3__ 4__ 5__
S5- Experience in Working with Children and Families:
Please list any experience you have working with children & families in research, childcare, tutoring, and/or
other settings. Be sure to include your role, responsibilities, and the age range of children you have worked
with. You may list current work as well.
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
________________________________________________________________________
S6- Experience Working in Preschool Setings:
Please list any previous academic, work, or volunteer experiences in preschool, kindergarten, or elementary
school classroom settings. Be sure to include your role, responsibilities, interactions with classroom teachers,
and the age range of children you have worked with. You may list current experiences as well.
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
________________________________________________________________________
S6- Other Relevant Research Experience:
Please list any other research experience you have. Be sure to include experience in survey and interview
research as well as data coding if you have any. If you have not taken part in any formal research projects,
please describe personal or academic experiences that you feel contributes to your potential as a RA.
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
______________________________________________________________________________
Research Assistantship Application. Page 2 of 3
What skills do you hope to gain from this RA-ship?
___________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_______________________________________________________________________________________
I am interested in:
☐Data entry/analysis
☐Assessments
☐Preschool classroom observations
☐Language-related tasks (e.g. screenings, translation)
S7- Other Skills:
Please list any other skills or talents you have, including statistical skills, knowledge of software (e.g. SPSS),
web design, skills with video/audio equipment/transcription, etc.
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
______________________________________________________________________________
S8- Academic Goals (for rising seniors only):
Do you plan on applying for Graduate School?
____ YES
____ NO
If yes, what will be your area of study? (e.g. Clinical Psychology): ______________________________________
What type of programs will you be applying to?
____ Doctoral (research based) ____ Doctoral (not research based) ____ Masters
____ Other (explain):_________________________________________________________________________
What are your plans following graduation? If you are a visiting student, how long do you plan to stay in the U.S.
following graduation?
_____________________________________________________________________________________________
_____________________________________________________________________________________________
____________________________________________________________________________________
_________________________________________________________________________________________.
Thank you for completing this application!
Research Assistantship Application. Page 3 of 3