LC Lab Application Form

1. Your name*

First NameLast Name

2. Date*

MonthDayYear

3. Email*

4. Phone*

Area CodePhone Number

5. Gender*

MaleFemaleN/A

6. Your Major, Minor, and/or Concentration*

7. Current year in school (or if summertime, what you will be in the fall)*

8. Expected Graduation Month*

Expected Graduaton Year*

Example: 2022

9. Upcoming semester(s) you are applying for. Check all that apply.*

FallSpringSummer

10. GPA*

*Note: by submitting this application, you give us permission to check your GPA with the undergraduate records office

11. List relevant course names that you have taken or are currently taking. Please use the name of the course and do not just list course numbers.*

12. Previous or current experience in other research lab (its ok if you have none)*

13. How did you hear about our lab?*

14. Why are you interested in working in this lab?*

15. What are your plans after graduation?*

16. Upload your Resume or CV here. Rename the file with your first and last name and the words "Resume". For example, my filename would be "Lily Blocker Resume.pdf". Before clicking on the red submit button below to submit this form, please print (or print to PDF) to keep this form for your own records. *

Upload a File

Thanks again for your interest in the LC Lab!

Please contact LCLab@stonybrook.edu if you do not hear from us within two weeks.