Rivera-Correa Lab Undergraduate student interest form Question Title * 1. Full name and EMPL ID CUNY Question Title * 2. Major and GPA Question Title * 3. Why are you interested specifically in the Rivera-Correa research program? Question Title * 4. Have you taken and passed satisfactorily the Microbiology course? Yes No Question Title * 5. Have you taken and passed satisfactorily the Molecular Biology course? Yes No Question Title * 6. Do you have any research experience? (ex. Micropippetting) Yes No If yes, please mention lab techniques. Question Title * 7. If you are a City Tech student, have you tried to apply for outside internships? Yes No Question Title * 8. If you are a City Tech student, have you emailed other City Tech professors for research opportunities? If yes, please write their name on comment box. Yes No If yes, please name all the faculty you have contacted. Question Title * 9. If you are a City tech student, is this your last semester? Yes No Question Title * 10. What would be your daily/ weekly lab working schedule? Pick all that apply. Mondays 1-6pm Wednesday 1-6pm Fridays 1-6pm Other Other (please specify) Done