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The value entered must be a time value in the following format HH:MM within the range 00:00-23:59 (e.g., 04:32 or 23:19).

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Required format:

ytwZ9brhxprgCt2AcMxxu7Q8BBzwDExRzh64oUppfI4vrLYc9rmZ3fzhCGdiBeh5tFNt8ukFMNhkxRfYx7QWfHtN3dhAciZhzrhMx7sGxLj

Lab Interest Form

Thank you for your interest in the Health Behavior and Technology Lab!

Please answer the following questions about you below.

Date/Time filling out this form

* must provide value

M-D-Y H:M:S

Time filling out this form

* must provide value

H:M

Date filling out this form

* must provide value

M-D-Y

What is your first name?

* must provide value

What is your preferred first name?

* must provide value

What is your last name?

* must provide value

What are your preferred pronouns?

If other, please specify in the box that appears below:

* must provide value

He/him/his

She/her/hers

They/them/their

Ze/zir/zirs

Ze/hir/hirs

Prefer Not to Anser

Other

What is your primary email?

* must provide value

What's your current academic status?

* must provide value

Please specify (e.g., year in school, degree, etc.)

* must provide value

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Is this your first year at KU?

* must provide value

Yes

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Are you transferring from another University?

* must provide value

Yes

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What is your major or intended major?

Please be specific. (e.g., Psychology - Behavioral Neuroscience)

* must provide value

Year in school

* must provide value

Please specify

* must provide value

Expand

We ask all individuals interested in working on research in the lab to provide us with relevant academic information as well as a resume/CV

We ask all first-year students applying for a position in the lab to submit their high school transcript as they only have a semesters worth of university grades.

Please upload your high school transcript here.

Make sure your transcript is in PDF format
Title the document in the following format: LastName_HighSchoolTranscript_date

Upload file

What is your degree in?

* must provide value

What Institution did you receive your Degree at?

* must provide value

What year did you receive this degree?

* must provide value

Have you attended KU in the past?

* must provide value

Yes

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What program are you in?

* must provide value

We ask all KU students interested in working in Dr. Fazzino's lab to provide us with their KU academy summary.

NOTE: The Academic Summary is specific to current KU students and is a report you can download from enroll and pay that contains all the classes you have taken and your letter grades for them in addition to your planned courses for the next semester.

You can download your KU Academic Summary by doing the following:

Log into KU Enroll and Pay: https://sa.ku.edu/index.html
Go to 'Academic Records & Grades' on the student homepage
Click ' KU Academic Summary' located on the navigation bar on the left-hand side of the screen
Chose 'Undergraduate Academic Summary' from the drop-down, then Click 'Submit'
Locate the most current requested report and Click ''View Report'

We ask all individuals who are interested in working on research in the lab at the undergraduate or post-bac levels to provide us with their KU academy summary.

NOTE: The Academic Summary is specific to current KU students and is a report you can download from enroll and pay that contains all the classes you have taken and your letter grades for them in addition to your planned courses for the next semester.

You can download your KU Academic Summary by doing the following:

Log into KU Enroll and Pay: https://sa.ku.edu/index.html
Go to 'Academic Records & Grades' on the student homepage
Click ' KU Academic Summary' located on the navigation bar on the left-hand side of the screen
Chose 'Undergraduate Academic Summary' from the drop-down, then Click 'Submit'
Locate the most current requested report and Click ''View Report'

We ask all KU students interested in working on research in Dr. Fazzino's lab to provide us with their KU academy summary.

NOTE: The Academic Summary is specific to current KU students and is a report you can download from enroll and pay that contains all the classes you have taken and your letter grades for them in addition to your planned courses for the next semester.

You can download your KU Academic Summary by doing the following:

Log into KU Enroll and Pay: https://sa.ku.edu/index.html
Go to 'Academic Records & Grades' on the student homepage
Click ' KU Academic Summary' located on the navigation bar on the left-hand side of the screen
Chose 'Graduate Academic Summary' from the drop-down, then Click 'Submit'
Locate the most current requested report and Click ''View Report'

Upload your current KU Academic Summary Here

Title the document "LastName_KUAcademicSummary_date"
Make sure it is in PDF Format

NOTE: If you are unable to obtain the academic summary for any reason, please upload a blank word document here and provide your reason for this in the field at the end of this form.

* must provide value

Upload file

We ask all newly transferred students applying for a position in Dr. Fazzino's lab to provide us with one of the following:

A screenshot of their transfer credit information from Enroll and Pay;
A Degree Progress Report from KU that includes transfer credits or
An equivalent to an academic summary from their previous institution(s).

Which of the above options would you like to provide?

NOTE: If you are unable to obtain any of the 3 options listed here, please choose "Other" and provide your reason for this in the field at the end of this form.

* must provide value

Screen shot of transfer credit information from Enroll and Pay

Degree Progress Report with transfer credits

Academic Summary from your previous Institution(s)

Other

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You can view the credits you earned at your previous institution and take a screenshot of this by doing the following:

Log into KU Enroll and Pay: https://sa.ku.edu/index.html
Go to "Transfer Credits" located on the navigation bar on the left-hand side of the screen
Click 'View Transfer Credit Report'
Take a screenshot of the webpage

Title the document "LastName_TrasferCredits_date"
Convert the file into PDF format if possible

Upload file

You can download your KU Degree Progress Report by doing the following:

Log into MyKU: https://my.ku.edu/uPortal/f/welcome/normal/render.uP
Click on the "Academic records" tab
Click "My progress"
Click "DPR" and enter the following information
- Career (e.g., Undergraduate, Graduate)
- School (e.g., Liberal Arts and Sciences)
- Major (can choose intended major if undecided)
Click "Generate Report"
You can then download the report and upload the document here

Title the document "LastName_DPR_date.pdf"
Make sure it is in PDF format

Upload file

Upload your most recent Academic Summary from your previous institution(s)

Title the document "LastName_AcademicSummary_Institution_date.pdf"
Make sure it is in PDF format

NOTE: The Academic Summary is specific to current KU students and is a report you can download from enroll and pay that contains all the classes you have taken and your letter grades for them in addition to your planned courses for the next semester./ul>

Upload file

We ask all individuals interested in working on research in the lab to provide us with their CV and/or resume

Please upload your current resume/CV here.

Make sure your resume/CV is in PDF format
Title the document one of the following accordingly
- "LastName_Resume_date"
- "LastName_CV_date"

* must provide value

Upload file

Tell us why you are interested in working in the lab

* must provide value

Expand

When would you be interested in joining the lab?

If other, please specify in the box that appears below:

* must provide value

What are you looking to get out of the experience?
(i.e., do you plan to join this lab for psych 480 credit, volunteer? - etc.)

If other, please specify in the box that appears below:

* must provide value

PSYC 480 credits

PSYC 580 credits

Volunteering

Student Hourly Paid Position

Graduate Research Assistant

Research Coordinator

Lab Manager

Other

Briefly describe your goals for the future (e.g. med school, grad school, etc.)

* must provide value

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How did you hear about our lab?

If other, please specify in the box that appears below:

* must provide value

Lab Website

Previous Research Assistant

Current Research Assistant

Publications

Other

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Please tell us anything else you would like us to know about you, your interests, and/or your academics here

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Mark field as:

[Clear value]

Not applicable (NA)

Other (OTH)

Not asked (NASK)

Asked but unknown (ASKU)

No information (NI)

Masked (MSK)

Not available (NAVU)

Not present (NP)

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To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.