Relationships and Health Lab (RHL)

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* 1. Date

Date

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* 2. Name

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* 3. Email Address

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* 4. Phone Number

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* 5. Expected year and quarter of graduation (i.e. Spring 2011, Fall 2011)

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* 6. Overall grade point average (GPA)

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* 7. What is your major?

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* 8. If applicable, list your minor

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* 9. What is your GPA within your major?

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* 10. How many hours would you like to work in our lab?

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* 11. Which quarters are you available to work in our lab?

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* 12. Sometimes we ask students to work in the evenings and/or on weekends. Are you willing to work during these times?

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* 13. Do you have a car in Los Angeles?

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* 14. What kind of position are you seeking with us?

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* 15. Do you read and speak Spanish?

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* 16. Please list in the box below any previous research experience you might have had (i.e. undergraduate coursework, thesis projects, etc.)

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* 17. Do you have any previous laboratory science-based experience (taken any upper-division science classes in biology or physiological science like Life Science 2 or Life Science 3)?

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* 18. Do you have any past experience working with children?

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* 19. In the box below, please describe any relevant past work experience (i.e. summer job, current job) and computer knowledge (i.e. Microsoft Word, Microsoft Excel, etc.)

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* 20. Please list in the box below the days and hours you're available to work in the current quarter. If the current quarter is more than half over (6th week or later) please also list your availability for next quarter. Please be as specific as possible. For example, rather than write "afternoons", write something like "from 1-4pm" or "12-5pm". Even if you cannot work on a day, please still specify the day of the week and state you're unavailable. There's no need to include weekend availability.

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* 21. Please list below (in several sentences) why you want to work in this lab.

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* 22. Please list below anything else you would like to tell us about yourself

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