Student Research Interest Profile

Name *

First Name Last Name

Class Year

University email address *

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Student ID

Major(s)

Overall GPA

Please upload a CV or résumé.

Please save and upload your document as a PDF.

Do you have any computer programming knowledge or experience?

Yes, I am comfortable with the idea of programming Yes, but I am a beginner No

Please indicate what programming languages you have experience with. Feel free to detail your skill level with each language.

Please select any online or in-person trainings you have completed in the past.

I have not completed any trainings before Laboratory Safety Training (e.g., chemical/biological/animal) CITI Human Subjects Protection Training CITI Good Clinical Practice Training HIPAA Training

Assuming there are no scheduling conflicts, approximately how many hours per week would you be able to CONSISTENTLY commit to research?

~4-6 hours/week ~7-9 hours/week ~10-12 hours/week 12+ hours/week

Not including coursework, please describe your research experience.

I currently work with a lab, a research team, or individually on a research project. I have had research experience in the past. I have no research experience.

Please describe any current or previous research you have done and the skills you have as a result. Did the experience meet your expectations? Why/why not?

Check all research descriptors that genuinely interest you.

Bench research ("wet lab") Human subjects research Computational research Humanities and/or archival research

Please rate your genuine interest in working with...

	Not interested	Neutral	Slightly interested	Very interested
Human subjects
Community partners
Human subject data, only
Primary sources (documents, archival resources, art, music, etc.)
Non-human primate models (monkeys)
Rodents (mice/rats)
Small model systems (C. elegans, Drosophila)
Cell cultures
Chemical/biological analysis tools
Imaging and sensor systems (fMRI, microscopy and spectroscopy, etc.)
Computational tools, software, and/or databases
Hardware and builds

Please select the option(s) that best describe your stance on research topics.

I have a clearly defined topic in mind that I am interested in researching. I have tried research, and I want to switch to a different type or topic. I want to have a research experience help me define what my future interests might be. I am not exactly sure what topic I am interested in researching. I am interested in previewing a research topic by meeting with a peer mentor.

What gets you curious? If you have ideas on topics, subjects, or questions you are interested in researching, please describe them below.

Keywords are OK, as is a longer description.

What project length do you think best fits your needs and interests at this point?

Short-term, task-based project (clearly defined when your involvement will start and end) Long-term/ongoing project (more open-ended, no pre-defined end date) Unsure

What are your current post-graduation plans?

PhD MD MD/PhD Masters program Employment

Describe how you see participation in undergraduate research preparing you for your post-graduation plans. What do you hope/expect to get out of your research experience?

Briefly describe the supports that you hope a one-on-one conversation will be able to provide for you in achieving your research goals.

Student Information

Preparation for Research

Your Research Interests