Date

MM

DD

YYYY

Name *

First Name

Last Name

Gender *

Male

Female

Other/Non Binary

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Year in school *

Freshman

Sophomore

Junior

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Other

Please specify the URA track for which you are interested in applying *

Clinical Track

EEG Track

No Preference

Undergraduate research assistants are expected to work either 7-8 hours per week (clinical track) or 10 hours per week (EEG track). These hours cannot be completed in the evenings or on weekends (i.e. must be completed during normal business hours). Would you be able to make this commitment?

Yes

No

Undergraduate research assistants are generally expected to work in the lab for at least two consecutive quarters, contingent on good performance. Are you willing to make this commitment?

Yes

No