First Name: 
Last Name: 
Street Address:
City:
Phone:
Email:
Major:
GPA:
Major GPA:
Semesters Completed:
How many semesters can you commit to this position?
Expected Graduation Date:
Will you be a registered student during the summer?

 Yes No

Will you be available to work in the lab during the summer?

 Yes No

Do (or can) you receive Financial Assistance?

 Yes No

Computer Background: Please describe your computing background, including any programming language and operating systems you know, OR check or list the operating systems / software/programming languages that you have experience using.

PC DOS PC Windows Macintosh Unix/Linux MS Word Excel MATLAB SPSS/SAS/R Statistica/Systat Photoshop Access/SQL Filemaker Pro HTML/CSS Visual Basic Java C/PHP/Perl 
Why are you interested in working in CANlab?
Please briefly describe your career goals.
Please attach your resumè.
Please attach a copy of your unofficial transcript.