Undergraduate Research Interest Form
Thanks for your interest in being a part of the CAN lab! We receive inquires from many more students each year than we can take into the lab. To try to identify the students who are likely to benefit the most from being in the lab please answer the following questions to the best of your ability.
* Required
About You
Full Name
*
Your answer
Email
*
Your answer
Current class standing
*
(during a break enter what you will be during your next semester)
Freshman
Sophomore
Junior
Senior
Post-Bac
Other:
Major(s)
*
(check as many as apply, if you have not yet declared please enter your future intentions)
Biochemistry
Bioinformatics
Biology
Biophysics
Chemistry
Computer Science
Mathematics
Neuroscience (Cell & Molecular Track)
Neuroscience (Cognitive & Behavioral Track)
Physics
Psychology
Statistics
Other:
Required
Minor(s)
(check as many as apply, if you have not yet declared please enter your future intentions)
Biochemistry
Bioinformatics
Biology
Biophysics
Chemistry
Computer Science
Mathematics
Neuroscience
Physics
Psychology
Statistics
Other:
Last Semester GPA
*
Your answer
Cumulative Loyola GPA
*
Your answer
Have you taken (check all that apply)
PSYC 101 General Psychology (or received AP credit for Psychology)
BIOL 101 College Biology (or received AP credit for Biology)
BIOL / PSYC 202 Introduction to Neuroscience
Prior Research Experience
Have you had any prior experience with research before coming to Loyola? If so please provide a sentence or two description of what and where you did it.
Your answer
I have previously worked in a lab at Loyola
*
Yes
No
I am currently working in another lab at Loyola
*
Yes
No
If you answered yes to either of the previous two questions or you have some other prior research experience please tell us whose lab(s) you worked in, for how long, and what you did
Your answer
If you have previously received a LUROP award please tell us what you received and who your sponsor was
Your answer
About your Interest in the CAN lab
Why are you interested in working in the CAN Lab?
*
Your answer
Did someone refer you to the CAN Lab?
Your answer
I am eligible for financial aid
*
Yes
No
I am eligible for Federal Work Study
*
Yes
No
Are you available to volunteer in the lab this summer?
Yes
No
Maybe
Clear selection
Future Plans
Future school plans
*
(check as many as apply)
Graduate School
Medical School
MD/PhD
JD/PhD
Dont Know
Other:
Required
After I finish school I would like to practice medicine/dentistry
*
Definitely Not
1
2
3
4
5
Absolutely
After I finish school I would like to be a therapist
*
Definitely Not
1
2
3
4
5
Absolutely
After I finish school I would like to do research
*
Definitely Not
1
2
3
4
5
Absolutely
After I finish school I would like to teach in a college/university
*
Definitely Not
1
2
3
4
5
Absolutely
If you think it is likely that you will attend medical school are you interested in:
(check as many as apply)
Neurology/Neurosurgery
Psychiatry
If you think it is likely that you will attend graduate school are you interested in:
(check as many as apply)
Clinical Psychology
Clinical Neuropsychology
Cognitive Neuroscience
Developmental Psychology
Neuroscience
Social Psychology
Other:
Please describe your career plans in your own words
*
Your answer
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