Plumert-Teasley Psychology SIP Fellowship Application – Psychology Department

Plumert-Teasley Psychology SIP Fellowship Application (updated)

Deadline: Friday, Fifth Week of Spring Quarter

GENERAL INFORMATION: • Only Psychology majors qualify for funding • SIPS must be completed in the Psychology Department .

Name(Required)

First Last

K-ID#(Required)

Email(Required)

HOMETOWN/PERMANENT RESIDENCE(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Are you a psychology major(Required)

Yes

What psychology classes have you taken?(Required)

PSYC 210 Developmental Psychology

PSYC 211 Adolescent Development

PSYC 220 Health Psychology

PSYC 226 Physiological Psychology

PSYC 230 Psychology of Prejudice

PSYC 238 Culture and Psychology of Arab-Muslim Societies

PSYC 240 Educational Psychology

PSYC 250 Social Psychology

PSYC 265 Cognitive Science

PSYC 270 Feminist Psychology of Women

PSYC 275 Introduction to Psychopathology

PSYC 280 Cognition

PSYC 285 Psychology of Music

PSYC 290 Animal Behavior with Lab

PSYC 295 Psychology of the African American Experience

PSYC 301 Intro to Research Methods in Psychology

PSYC 330 Interviewing and Narrative Analysis With Lab

PSYC 340 Cultural Psychology

PSYC 390 Experimental Methods

PSYC 410 Theories of Personality

PSYC 411 Psychology and Law

PSYC 415 Computational Neuroscience

PSYC 420 Learning

PSYC 422 Consciousness and Dreams

PSYC 424 Psychopharmacology

PSYC 450 Counseling Psychology: Theory and Practice

PSYC 460 Social Development

PSYC 465 Advanced Psychology of Sexuality

PSYC 470 Adult Development

PSYC 480 Psychology of Language and Mind

PSYC-490 Senior Seminar in Psychology

PSYC-495 Psychology of Gender

Other

Please select all the of psychology classes you have successfully completed or are currently enrolled in. These can be class that were taken at Kalamazoo College, on Study Away / Study Abroad or transferred to K from another institution.

Unofficial academic transcript(Required)

Max. file size: 5 MB.

What type of SIP are you currently registered for or are planning to register for with the Registrar's Office?(Required)

PSYC 593

SIP 593

Tell us about more about your SIP

SIP Supervisor Information(Required)

Name Department

Description of SIP research project(Required)

Max. file size: 5 MB.

200 words or less

Tell us more about your lab placement

Lab Information(Required)

Lab Name Name of On-Site Supervisor (this is the person who has agreed to let you work in thier lab) Lab Location College or Instituition

Approximate Start Date(Required)

MM slash DD slash YYYY

Approximate End Date(Required)

MM slash DD slash YYYY

Weekly Research Lab Hours

Please enter a number from 1 to 40.

Approximate number of hours per week that you will be working with your On-Site Supervisor

Is this a paid lab position?(Required)

Yes

This would include any research/internship stipends or though the lab directly

Letter from the researcher or program verifying their commitment to supervise you this summer*(Required)

Max. file size: 5 MB.

A copy of an official email is also accepted*

Why are you interested in pursuing this research opportunity?(Required)

Max. file size: 5 MB.

200 words or less

Paid Summer Research Income Information

Paid Lab Research Amount

Hourly/Pay Rate (Lab Position)

Please enter a number from 1 to 30.

# Weekly Hours (Lab Position)

# Weeks (Lab Position)

Please enter a number from 1 to 12.

Lab Income

Stipend(s) Amount

Please enter a number from 1 to 9999999.

Total amount of all your summer stipends added together

Summer Employment Plans

Are you able to work a summer job?(Required)

Yes – I am planning on working before, during and after my lab placement

Yes – But only before and/or after my lab placement

No – I can’t work at all this summer due to the time restraints of my lab placement

Summer Employment Income Information

Paid Summer Emploment

Hourly/Pay Rate

Please enter a number from 1 to 9999999.

# Weekly Hours

Please enter a number from 1 to 9999999.

# Weeks

Please enter a number from 1 to 9999999.

Lost Summer Employment Income Information

If you are losing any summer employment income by having an unpaid lab position instead of working a paid summer job during the weeks you are working in the lab.

Lost Summer Employment Income

Hourly/Pay Rate (MW = $12.48)

Please enter a number from 1 to 9999999.

If you are unsure of the amount per hour you would of made then please the Michigan Minimum Hourly Wage of $12.48.

# Weekly Hours (unable to work)

Please enter a number from 1 to 9999999.

This would be the number of hours you worked in your lab position per week.

# Weeks (unable to work)

Please enter a number from 1 to 9999999.

This would be the number of weeks you worked in your lab position per week.

Information for budgeting your Lab Placement

Be realistic and state your funding request clearly • You may be asked to submit your receipts upon your return to campus

Lab Postion Cost

Air Travel

Ground Travel

Examples: Mileage, cab fare, bus fare, ect…

Lodging

Food

Lab Expenses

Do you need to purchase any lab equipment? Examples: safety glasses, PPE clothing or supplies

Other Travel Expenses

Estimated Final Cost and Financial Assistance

Your Estimated Summer Income

This is based on any paid summer research income, summer employment income and any lost summer employment income information you have already provided.

Lab Postion Cost

Funding Request(Required)

Describe your need for financial assistance(Required)

Max. file size: 5 MB.

200 words or less

Application Eligibility Notice

You do not meet the eligibility requirements for the Plumert-Teasley Psychology SIP Fellowship as your SIP is registered under SIP 593. We encourage you to check with the Center for Career and Professional Development (CCPD) for other available SIP funding opportunities.