INFORMED CONSENT DOCUMENT
Undergraduate Research Team Application
Visual Recognition & Object Memory [VROM] Lab
042 Armstrong Hall • Psychology Department • Minnesota State University, Mankato
Lab Director: Moses M. Langley, Ph.D. • 030 Armstrong Hall • moses.langley@mnsu.edu
Basic Information
|Name: [pic] |Date of application: [pic] |
|Phone: [pic] |E-Mail: [pic] |
|Major(s): [pic] |Year in school: (Click to change) |
|Major GPA: [pic] |Overall GPA: [pic] |
Estimated date of graduation: [pic]
When would you like to join the lab? (semester/year) [pic]
Experience
Courses Taken
| Statistics | Cognitive Psych. | Learning | Human Memory |
| Research Methods | Cognitive Neurosci. | Sensation & Percep. | Drugs & Behavior |
| Biopsychology | Behavior Genetics | Neurobiology | Computer Science I |
If Statistics (Psychology 201), who was your instructor? [pic]
If Research Methods (Psychology 211), who was your instructor? [pic]
Prior or Current Research Experience
| Yes | No |
If yes, identify the lab(s) you worked in, the duties you performed, and the duration of your involvement: [pic]
Skills
Please rate your proficiency in the following areas:
1 = No experience, but I’ll learn 2 = Some experience 3 = Enough experience to work independently 4 = A lot, I could teach you a thing or two!
| |1 |2 |3 |4 |
|PsychINFO, PubMed, Medline, etc. | | | | |
|MS Excel | | | | |
|MS PowerPoint | | | | |
|SPSS | | | | |
|Adobe Photoshop/Illustrator | | | | |
|Visual Studio | | | | |
|E-Prime | | | | |
|Computer Programming (any language) | | | | |
|Web Design | | | | |
Goals
What do you hope to gain by working in the VROM lab?
[pic]
| Yes | No | Unsure |
Do you plan to attend graduate school following your undergraduate degree?
If yes, identify area(s) you would like to study and why:
[pic]
Availability/Time Commitment
How many lab credits would you like to register for?
| 2 | 3 | 4 (not recommended) |
[1 credit = 2-3 hours in the lab per week]
Lab meetings are held Fridays from 10:00a-12:00p. Will you be able to attend?
| Yes | No | Uncertain |
[lab meetings are mandatory]
What weekday hours will you be available to work in the lab?
| |Monday |Tuesday |Wednesday |Thursday |Friday |
|9:00 | | | | | |
|10:00 | | | | |X |
|11:00 | | | | |X |
|12:00 | | | | | |
|1:00 | | | | | |
|2:00 | | | | | |
|3:00 | | | | | |
|4:00 | | | | | |
|5:00 | | | | | |
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