Student Research Interest Form

Student Research Interest Form

Thank you for your interest in exploring research opportunities within the Department of Pediatrics. Your responses to the questions below will provide department researchers with valuable insights into your interests, skills, curiosity and passion for pediatric research.

While this questionnaire will note your interest in pediatric research, it does not guarantee a research position. The information you provide will be shared with department researchers to connect them with enthusiastic students interested in learning more about pediatric research and potential opportunities.

Name*

Anticipated major (and certificate)*

What are your career interests? Research interests*

Length of Response: 2 Sentences

Is there a division (ie, Hospital Medicine and Complex Care, Infectious Diseases) that you are interested in? If so, indicate one or more divisions that interest you.

Length of Response: 1 Sentence

If any, which researcher or research group are you interested in and why?

View a list of research groups: https://www.pediatrics.wisc.edu/research/research-groups/

Length of Response: 2-3 Sentences

Please list any prior research experience or skills that could be applicable.

Length of Response: 2-3 Sentences

What kind of position are you looking for?*

Select or enter value

How many hours a week would you be available to work?*

Select or enter value

Where do you prefer to perform your job responsibilities?*

Select or enter value

How long would you be available to work in the Department of Pediatrics?*

Select or enter value

Any additional information you’d like to share with us?

Length of Response: 1-5 Sentences

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