Undergraduate Research Associate Application Pathology Dynamics Your Information Name: Georgia Tech Email Address: Phone number: Major: Expected Graduation Date: Work Status and History How many semesters have you been a full-time college student (include fall and spring semesters only)? Are you currently working in a lab at Tech? Yes No Do you currently hold a job (work study, grader, etc)? Yes No Have you ever held a job outside the family home? Yes No Do you have any research experience in a lab or industrial setting? Yes No Activities and Schedule Extracurricular activities play an active role in shaping our personality, character and career. How many hours a week do you spend doing such structured activities (hobbies, athletics, professional or greek organizations, civic service, etc.)? Mark only one 1-5 hrs 6-10 hrs 11-15 > 16 hrs 1 of 4 What are your favorite extracurricular activities? List up to three. For the current semester, please indicate the number of hours you could dedicate to a research position on an “average” week. (Note the minimal work hour commitment will be agreed upon between the advisor and student).: Mark only one 4 hrs 5-7 hrs 8-10 hrs 11-15 hrs How many total engineering, math, and science classes do you plan on taking during an “average” fall or spring semester? 1 2 3 4 5 6 Work Style Preferences Instructions: Please answer honestly without over-thinking your answer. There are no right or wrong answers as there are tasks to match each type of preference/answer. Which gives you more satisfaction? mark only one Completing a task Execution of details within a task Which type of work management plan do you prefer? mark only one Following a pre-structured plan Developing your own plan Which of the following best describes how you prepare for a two week trip/vacation? mark up to three Make a written list of items to pack Pack the night before the trip Pack several days before the trip Compartmentalize items in smaller packs and place in a larger bag Pack items in no particular arrangement within a single bag Arrange items by type/function within a single large bag Which best describes your clothes closet? mark only one Most clothes are not hanging or folded. Clothes are hanging/folded, but in no particular arrangement Clothes are hanging/folded and arranged by function (athletic, professional, casual, etc) Clothes are hanging/folded and arranged by type (jeans, pants, shirts, etc.) or by color 2 of 4 When you have several tasks to complete, do you tend to: mark only one Work on one task at a time, completing each before moving to the next Shift between multiple tasks, working them toward simultaneous completion When given a bigger task (such as a large homework assignment), do you prefer to : mark only one Intentionally divide the work into multiple settings Attempt to do it all or as much as possible in one setting Which would you find more gratifying? mark only one Finding the underlying cause of a disease Finding a treatment for a disease Which do you find more exciting? mark only one Developing an innovative method, theory, idea or design for someone else to physically test Hands-on physical testing of a method, theory, idea or design that some else has developed When starting a new group project do you prefer to first: mark only one Obtain initial direction by working on your own Obtain initial direction by consulting with a group member Obtain initial direction from a group leader or supervisor When working on a homework assignment, do you prefer to: mark only one Work on your own Work within a group If given a set of tasks to complete, do you prefer a set of tasks that are: mark only one Ordered and inter-related Unstructured and unrelated What type of work environment do you prefer when studying/doing homework alone? mark only one Library Your room Coffee house, restaurant, student lounge or other community shared space Outside (park, porch, etc.) You are given a group project that contains the following tasks: literature review, perform an experiment, analyze experimental data, develop a mathematical model, write a report. Which task is your first preference? Which task is your second preference? Which task is your least desired? 3 of 4 Completed Classwork Which of the following basic math and sciences classes have you taken or are currently taking? Calc I Biology Organic Chem Calc II Chem I Biochem Diff. Eq. Chemistry II Other Math(specify): Physics I Physics II If you are a BME student, which of the following core BME classes have you taken or are currently taking? BME 2210 Conservation Principles in Engineering BME 1300 BME 2300 BME 2400 Biostats BME 3100 System Physiology BME 3110 Phys Lab BME 3300 Biotransport BME 3400 Biomechanics BMED 3500/10 Sensor/Modeling If you are in a major other than BME, which of your major’s core courses have you taken? What are your planned math, science, or engineering classes for next semester? Skill sets Which, if any, of the following experiences/skill sets do you functionally and comfortably possess? Mark all that apply computer programming (Matlab, C, etc.) computer hardware database experience (Access, Filemaker, etc) literature search experience (Web of Science, PubMed, etc) spreadsheet design/calculations (Excel) graphic design/illustrative software (PhotoShop, Illustrator, etc ) website design or management machine shop or construction animal handling: lab household pets farm play a musical instrument artistic hand or free form drawing Future Plans In 1-2 sentences, please describe why you want an undergraduate research experience and what you hope to gain from it: Which best describes your plans upon graduation: mark only one Medical or dental school Law school, MBA or other professional program Graduate school for science or engineering Job in industry 4 of 4