Puts Lab Application

Name

Today's Date

Year / Month / Day

Major(s)

Year in School

Is your current GPA at least 3.0?

Yes
No

E-Mail

Phone

Hrs/wk available this semester

On a scale of 1-10, how reliable would you be in lab attendance and performing lab responsibilities?

Will you be available in subsequent semesters or summers?

Yes
No

Relevant courses (and grades), experiences, or skills

Why do you want to work in the lab?

How did you hear about the lab?

Is there anything else you would like to note?