Name _____________________ Year _____________ GPA____
Phone # ___________________ Email ______________________
1. Are you a Psych major? Y N 2. Intending to do a senior thesis? Y N
3. Likely to qualify for honors? Y N
4. Do you know what you would like to do after graduation? ___________________
____________________________________________________________________
5. Have you ever worked with children? Y N
If yes, where and with what age children? _____________________________________
6. Have you ever worked in a lab? Y N
If yes, when and with whom? ____________________________________________
7. Can you make at least a 2 semester commitment to the lab? Y N
8. Realistically, can you spend 10 hours/week working in the lab? Y N
9. Do you have at least one 3-hour block of time open in your schedule? Y N
Most likely blocks of time available given current course plans ____________________
_______________________________________________________________________
10. Would you be available for lab meetings on Wednesdays from 11:30-12:30? Y N
11. Why are you interested in getting involved in the Infant Communication Lab?
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3314 Sennott Square | 210 S Bouquet St | Pittsburgh, PA 15260
412-624-4517 | ICL@pitt.edu
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