Research Assistant Application

Juvenile Anxiety Study (JAS)

Principal Investigator: John M. Hettema, MD, PhD

Please note: None of the experiences, skills, etc. listed on this form are required for selection as a research assistant. They will only guide the study coordinator in making decisions about which projects may be appropriate for your interests or experience level. If it is determined that you would be an appropriate fit for our lab, you will be contacted about setting up a meeting with us. Thank you for your interest.

Contact Information:

Name:

Phone Number:

E-mail:

Academic Information:

Major(s)/Minor:

Year:

GPA:

What semester(s) are you available to work in the lab (including winter and summer)?

How many credits are you taking during each relevant semester?

How many hours per week would you ideally like to devote to research?

Future Plans:

Are you planning to apply for graduate school or medical school? If yes, in what field?

Previous Research Experience:

Please list and describe any research experience you have. Include the location, your supervisor, the project you were involved in, and your specific duties.

Other Relevant Experience:

Please list any relevant employment, clinical work, field placement, or volunteer experience you have.

Computer Experience:

How much experience do you have with the following programs or areas? Use the 1-4 rating scale below.

1 = No experience, but I’m willing to learn

2 = A little bit of experience

3 = Enough experience to work independently on the program

4 = A lot of experience, I could teach you a thing or two!

PsychInfo, PubMed, Medline, or other searching tools 1 2 3 4

Microsoft Word (or other word processing programs) 1 2 3 4

Microsoft Excel (or other spreadsheet programs) 1 2 3 4

SPSS, SAS, R (or other statistical program) 1 2 3 4

Graphing programs 1 2 3 4

Acquisition Software (E-Prime, Biopac/Acqknowledge, etc) 1 2 3 4

Coding/Programming (Java, C, C++, MySQL, HTML, etc) 1 2 3 4

Research Interests:

What areas of research are you hoping to gain experience with? Why are you interested in working in this lab?

Other information:

Please include any other information that you would like us to consider.