Depression Treatment and Research (DRT) Program

Department of Psychology

University at Buffalo, State University of New York

Park Hall 185

Buffalo, NY 14260

Lab Director: John E. Roberts, Ph. D

Thank you for your interest in applying to the DRT Program! Please complete the

following application and email it along with a CV or resume and a copy of your unofficial transcript to John Roberts (). We will review your application and may contact you for additional information or to schedule an interview.

Contact Information
Date:
Name:
Email:
Phone Number:
General Academic Information
University:
Year in School: / Freshman / Sophomore / Junior / Senior / Post Bac
Major(s):
Major GPA:
Cumulative GPA:
Relevant Coursework
Please list all relevant coursework (i.e., psychology, statistics) you have completed.
Course Title / Grade
Computer and Technical Experience
Word / None / Minimal / Familiar / Proficient
Excel / None / Minimal / Familiar / Proficient
Access / None / Minimal / Familiar / Proficient
Powerpoint / None / Minimal / Familiar / Proficient
PsycInfo / None / Minimal / Familiar / Proficient
SPSS / None / Minimal / Familiar / Proficient
SAS / None / Minimal / Familiar / Proficient
R / None / Minimal / Familiar / Proficient
Psychophysiological equipment (what kind?): ______ / None / Minimal / Familiar / Proficient
Other: ______ / None / Minimal / Familiar / Proficient
Additional Information
What position are you applying for? / Volunteer Position / Research Credit /
How long (i.e., months or years) can you commit to this position?
How many hours per week can you commit to the lab?
When are you interested in starting in the lab?
Which of the following IRB training course have you completed?
___ CITI Human Subjects Research Course (online CITI course)
___ Social and Behavioral Responsible Conduct of Research Course (online CITI course)
___ Good Clinical Practice Course (online CITI course)
___ Good Research Practice (in-person training course)
Availability
Please indicate the times you ARE available to work in the lab.
Time / Monday / Tuesday / Wednesday / Thursday / Friday
9:00 – 10:00 A.M.
10:00 – 11:00 A.M.
11:00 – 12:00 A.M.
12:00 – 1:00 P.M.
1:00 – 2:00 P.M.
2:00 – 3:00 P.M.
3:00 – 4:00 P.M.
4:00 – 5:00 P.M.
5:00 – 6:00 P.M.
6:00 – 7:00 P.M.
7:00 – 8:00 P.M.
8:00 – 9:00 P.M.

Why are you interested in joining the DRT Program?

What type of research experiences do you expect or hope to obtain in the lab?

Please describe your research interests and any current or prior research experience.

What are your plans following graduation (or long-term goals if you are a senior or post-bac)?

Reference No.1
Name:
Relation to you:
Email:
Phone Number:
Reference No.2 (if available)
Name:
Relation to you:
Email:
Phone Number: