Undergraduate Research and Creative Activities Program

URCA Assistant Application

*Name:

*Student ID Number:

*Street Address:

*City:

*State:

*Zip Code:

*Preferred E-mail:

*Phone Number:

	*

*Major:	If unsure, please enter "Undecided"

Minor:

	A separate application must be submitted for each position you're applying for.
	*


	Have you or will you apply for other URCA Research Assistant positions this semester? If so, please list all position numbers. Please Note: While it is okay to apply for multiple positions, you may only accept one position per semester!


	*Briefly describe your research interests:


	*Briefly describe your career goals:


	*Why do you want to be a research assistant?


	*What sorts of prior research experience do you have:


	*Why should you be selected for this position?


	Is there a professor at SIUE who could speak favorably about you? If so, please provide name, e-mail address and phone number. (Note: you should secure permission from this professor to be used as a reference before submitting this form!)


	Check the position posting carefully. At the bottom the professor may have requested additional information (about pre- requisite courses, transportation, etc.). If so, please address each of these issues below (for example, I have taken the 2 prerequisite courses and earned an A in both, and I am available during all the listed required times).


	*I have read and fully understand the time commitment, duties and responsibilities of the position I am applying for. If selected to this position, I agree to comply with these.