Application Form for Health IT Lab at UMBC


This questionnaire includes basic questions you should answer to apply for a position at the Health IT Lab at UMBC

Welcome to this short questionnaire. Your information will be used by Dr. Koru, who is the Principal Investigator of the Health IT Lab at UMBC, for the purpose of making acceptance or hiring decisions.

There are 34 questions in this survey.

Basic Information

Name
Email address
Best phone number to reach you
Current address

Academics

In which degree program are you currently enrolled?
Undergraduate Degree
Master's Degree
Ph.D
Other: 
Have you been admitted to the PhD program but not started yet? (not starting means not taking any courses)
Undergraduate Degree
What was your Undergraduate major?
Cumulative undergraduate GPA or percentage (obtained from your undergraduate degree)

Name of the college/university you attended during your Undergraduate degree
What is your most recent graduate degree and area?

Cumulative Graduate GPA from your most recent graduate program -- note that this will be checked against the transcript.

 Students in first semester may leave it blank.
Name of the college/university you attended during your Graduate degree (or currently attending)
In total, how many credits will you be completing in your current program by the end of this semester?

Your latest quanitative, analytical, and verbal GRE scores AND percentiles
 Score Format: Quantitative Reasoning score and percentile; Analytical Writing score and percentile; Verbal Reasoning score and percentile;
Your TOEFL/ IELTS scores: Reading, listening, speaking, writing, and total.
 

Score Format: Reading score;  Listening score;  Speaking score; Writing score; Total score

For e.g., 30; 30; 30; 30; 120

What are your grades for the courses you most recently took corresponding to the courses below?
Statistics
Database
Data Analytics/Data Mining/Machine Learning
How would you rate your skills in the following markup/scripting/programming languages?
  1 2 3 4 5
HTML
1
2
3
4
5
CSS
1
2
3
4
5
C/C++
1
2
3
4
5
Java
1
2
3
4
5
Python
1
2
3
4
5
Ruby
1
2
3
4
5
Tcl/Tk
1
2
3
4
5
Perl
1
2
3
4
5
Shell Scripting (Bash/Zsh/etc)
1
2
3
4
5
Javascript
1
2
3
4
5
 1: Nothing 2: Novice 3: Intermediate 4: Advanced 5: Expert
Which statistical tools have you used before?
R or Splus
SAS
Stata
SPSS
Other:
How would you rate your database skills?
1
2
3
4
5
No answer
How would you rate your user interface design skills?
1
2
3
4
5
No answer
Who is the financial sponsor for you in your current program?

 Indicate it if the sponsor is your family or yourself. Provide the institution name if there is an institutional sponsor.
Is there any financial or service obligation that you need to fulfill as a result of being financially sponsored (supported) in your current academic program? Please provide the details of your obligation such as the dollar amount you need to pay back or the years you need to provide service.

Professional Experience

How many years of professional experience do you have?
 This question is about the experience in a position in which the students fulfilled responsibilities in return of some compensation
Your areas/fields of professional experience:

Your past employers

Work and Career

How will you contribute to the research activities in the Health IT Lab at UMBC in this position?

How will this position help you in your career? Explain

How are your current interests and plans are aligned with making research contributions to the body of knowledge in the area of health informatics? Please discuss.

If you are not a PhD student, what are your plans of pursuing the PhD degree?

Please provide information about a team you worked in at a workplace and the role you played within that team. Discuss one difficulty you overcame as a result of effective and efficient teamwork.

What was your biggest academic and/or professional failure? Please discuss in detail.

Other

Do you have any other information or comments to enter so that they will be considered in the evaluation?

Providing More Detailed Information

If you would like to provide more detailed information, please upload your most recent CV in pdf.