ERROR:
JavaScript is not enabled. You must enable JavaScript in your browser to use this form
Please fill in a valid value for all required fields
Please ensure all values are in a proper format.
Are you sure you want to leave this form and resume later?
Are you sure you want to leave this form and resume later? If so, please enter a password below to securely save your form.
Save and Resume Later
Save and get link
You must upload one of the following file types for the selected field:
There was an error displaying the form. Please copy and paste the embed code again.
Apply Discount
You saved
with code
Submit Form
Submitting
Validating
There was an error initializing the payment processor on this form. Please contact the form owner to correct this issue.
Please check the field:
Fields
Microbiology and Immunology Department Student Inquiry Questionnaire
Name
*
First Name
*
Last Name
*
1. What is your major and class standing at UNR?
*
2. What is your expected graduation date?
*
3. What is your GPA?
*
4. Which classes have you completed or are you currently enrolled in? Check all that apply.
*
MATH 127
MATH 181
CHEM 121A
CHEM 121L
CHEM 122A
CHEM 122L
CHEM 201
CHEM 202
CHEM 241
CHEM 242
CHEM 341
CHEM 342
CHEM 345
BIOL 190
BIOL 191
BIOL 300
BIOL 315
BCH 400
BCH 405
BCH 406
PHYS 151
PHYS 152
STAT 152
STAT 352
APST 270
MICR 200
MICR 276
MICR 276L
MICR 300
MICR 301
MICR 350
MICR 401
MICR 405
MICR 418
MICR 425
MICR 453
MICR 470
MICR 476
MICR 483
MICR 484
MICR 490
CHEM 220A (formerly CHEM 142)
BIOL 251
Other relevant experience (e.g. high school laboratory prep program, med tech, etc.)
*
5. Consider the lab classes you have taken, what did you like that contributes to your interest in being a part of a research lab?
*
6. What techniques did you learn in any labs or lab classes that you would be able to repeat or consider a part of your skill set?
*
7. What research areas are you most interested in? Please choose your Top 3.
*
Virology
Bacteriology
Fungal pathogens
Immunology
Diagnostics development
Therapeutics development
Vaccine development
Neuroimmunity and gut-microbiota-brain axis
Cancer Immunobiology
Biosensors and Fluorescent probes
8. Pending availability, which of the following positions in the lab are you interested in? Check all that apply.
*
Senior thesis for credit
Independent study
BS/MS Biotechnology program research for credit
Student Worker research for pay
Student Worker lab chores for pay
Volunteer position
9. Have you been awarded work study, research fellowships, or research grants?
*
Yes
No
If Yes, what is the program and what is the time frame for the award?
*
10. How long would you like to hold a position in the lab?
*
11. What date would you be able to start working in the lab?
*
https://unrmed.formstack.com/forms/images/2/calendar.png
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
12. What is your availability to work in the lab during normal business hours (Monday-Friday, 8am-5pm) for the current/upcoming term?
*
13. What is your total credit load for the current/upcoming term?
*
14. Do you have any other jobs, volunteer positions, community activities in which you are currently committed?
*
Yes
No
If yes, please discuss weekly time commitments outside of academics
*
15. Please list any relevant laboratory safety trainings you have completed, including those provided by UNR’s EH&S department
*
16. What are your future academic and career goals?
*
17. Considering faculty members who have openings in their labs (check with Dana Reed on current openings), who are your top three choices? Please write a brief statement for each lab discussing your interests, what you can contribute and hope to learn, etc.
*
18. Please upload your resume or CV.
*
No File Chosen
File uploads may not work on some mobile devices.
Email
*
Previous
←
Next
→
Powered by Formstack
Create your own form
›
Enter your save and resume password
Cancel
Confirm