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* 1. Please enter your name and your CMU email address

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* 2. Please calculate the total number of hours per week that you will dedicate to non-academic activities for the Spring 2021 semester. This includes, but is not limited to:
  • Other employment (whether on- or off-campus);
  • Residence life (residence assistant, desk assistant, etc.);
  • Athletics (whether varsity, intramural, etc.; including practices, training, games, travel time to away games, etc.);
  • Other clubs, student government, etc.;
  • Etc. 

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* 3. What is the minimum number of hours per week that you can guarantee towards "in-lab" work during the Spring 2021 semester? This includes being in the lab, making solutions and buffers, refilling micropipette tips, checking inventory, cleaning glassware, assisting with experiments -- work that can only be done in the lab and not remotely.

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* 4. Is your living situation such that you can come and go as you please (e.g. off-campus living, not at the mercy of CMU residences telling you when to move in and move out), allowing you to live locally in Mesa County and potentially maximize productivity during "break" periods (e.g. Spring Break, Fall Break, Thanksgiving, Christmas/New Year's holiday, summer, etc.)?

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* 5. Please select the grades you have earned in prior courses at CMU -- or other institutions if they have been successfully transferred for credit.

  Not attempted In-progress as of Spring 2021 Failed (F) or dropped D UNS SAT B A
General Chemistry I (CHEM 131)
General Chemistry Laboratory I (CHEM 131L)
General Chemistry II (CHEM 132)
General Chemistry Laboratory II (CHEM 132L)
Attributes of Living Systems (BIOL 105)
Attributes of Living Systems Laboratory (BIOL 105L)
Organic Chemistry I (CHEM 311)
Organic Chemistry I Laboratory (CHEM 311L)
Organic Chemistry II (CHEM 312)
Organic Chemistry II Laboratory (CHEM 312L)
Biochemistry I (CHEM 315)
Biochemistry Laboratory (CHEM 315L)
Principles of Genetics (BIOL 301)
Principles of Genetics Laboratory (BIOL 301L)
Biochemistry II (CHEM 316)
Cellular Biology (BIOL 302)

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* 6. What do you hope to get out of this work? Check all that apply.

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* 7. (Optional) Not counting lab courses (e.g. General Chemistry labs, Attributes of Living Systems Laboratory, Organic Chemistry labs, Biochemistry Laboratory, etc.) – have you worked in a laboratory environment (i.e. for credit, pay, volunteer experience, etc.) where you routinely performed one or more of the following tasks?
  • Analytically weighing milligram or gram quantities of solids
  • Preparing solutions to specific concentrations and/or diluting stocks to working solutions
  • Preparing pH-specific buffers
  • Using a micropipette
  • Performing spectrophotometric assays
  • Keeping a detailed and rigorous lab notebook

If applicable, please complete the following information for your most recent lab experience:

T