Navi-Gator Neuropysch Application Navi-Gator Neuropsych Research with Dr. Dawn Schiehser Step 1 of 8 12% 1: Student InformationFull Name(Required)Email(Required)Phone Number(Required)Major / Year(Required)Expected Graduation (Month / Year)(Required)Post-Graduation Plans(Required) 2: Commitment & Planning Assumptions (Required)I understand this is a multi-semester commitment and I am willing to prioritize approximately 10-15 hours/week across Summer 2026, Fall 2026, and Spring 2027.(Required) Yes No Based on what I know today, I expect to be in Gainesville and able to participate in-person as needed for all three terms.(Required) Yes No If you selected “No,” please explain briefly:Likelihood of maintaining this commitment across all three terms (select one):(Required)Very likely (minimal expected conflicts)Likely (some manageable conflicts)Uncertain (significant unknowns) 3: Availability Outlook (Best estimate – not exact schedules)Even though my exact schedule is not known yet, I can typically protect (check all that apply):(Required) 2 half-days/week (approximately 10 hours total) 3 shorter blocks/week 4–5 short blocks/week Weekends (if needed) I’m not sure yet Which time windows are most likely to work for you during a typical week? (choose up to 3)(Required) Early mornings (7-9) Mornings (9-12) Early afternoon (12-3) Late afternoon (3-6) When do you anticipate knowing your schedules more clearly?(Required) By April 2026 By May 2026 By July 2026 Not sure yet 4: Expected Conflicts & Risk Factors (Forecast)Do you anticipate any of the following during Summer 2026 – Spring 2027? (check all that apply)(Required) MCAT prep block Internship / job with fixed hours Study abroad / extended travel Heavy lab / clinical rotation semester Leadership role with major time demand None anticipated If you selected any options from above please share the expected time frame for each itemIf conflicts arise, which statement best fits you?(Required) I can adjust other commitments to protect ~10 hours/week. I might need to reduce hours temporarily I may not be able to sustain ~10 hours/week 5) Role Fit (Patient-Facing + Testing Support + Research/Admin)Comfort level (select one each):(Required)HighMediumNew but willingPatient-facing interactions:Following strict protocols/ instructionsdetail-oriented admin work (tracking / data entry):Do you have reliable transportation?(Required) Yes No 6: Confidentiality & ProfessionalismConsent(Required) I understand this role may involve confidential patient and/or research information and I will follow all privacy/HIPAA and clinic professionalism expectations.7: Short Responses (screening)Why neuropsych + why a multi-semester commitment? (120–180 words)(Required)Dependability: Share an example of a long-term commitment you maintained. What habits/systems helped? (80–140 words)(Required)Scenario (patient-facing): A patient becomes frustrated and asks you for medical advice. What do you do? (60–120 words)(Required)Scenario (research/admin): You notice you may have made a data entry mistake. What steps do you take? (40–80 words)(Required) 8: Realism Check (Priorities)Rank your top 3 commitments for Summer 2026 through Spring 2027 (1 = highest priority). Include approximate weekly hours if known.(Required)Where would this neuropsych commitment fall among your priorities (select one)?(Required) Top 1-2 Priority Top 3 Priority Lower Priority / Depends on schedule If advanced, I will complete a brief pre-interview task and attend an interview.(Required) I agreeSignature(Required)Date(Required) MM slash DD slash YYYY
