Stout Lab – Application For Work Study
Name:
Phone:
Major: E-mail:
Status: Freshman Sophomore Junior Senior
Major GPA: Cumulative GPA:
Number of Hours Wanted Per Week:
Semester Applying for: Fall Spring Summer Year:
1. Please list all relevant coursework (e.g. psychology, statistics, cognitive/neural sciences/biology):
2. List any previous research experience (this includes experience in lab courses in chemistry, biology, etc.):
3. Computer skills
a. Estimate your ability to type: Inexperienced Experienced Proficient
b. Check any of the following that you have had experience using:
Others (list any not shown above):
4. What are your career/education plans, both long and short-term?
5. Is there anything else we should take into consideration that we haven't asked about?
6. Please provide two references (professor, teacher, supervisor – no parents or friends):
Name: Phone:
Relationship: E-mail:
7. Please check all times when you would be available:
Please state any comments we should know about your schedule
