information we need from you:					
first name:						
last name:						
1st phone number:						
2nd phone:						
email address:		
class number(use a number from the bottom of this file, where the classes are listed):		
age on 1st day of semester:		
Gender?  (male female) 	please write a single letter (m or f): 	
handedness?  (left  right  ambidextrous/both)	please write a single letter (l r or b):	
physical constraints? (wheelchair  blind  deaf none)	please write a single letter (w b d or n):	
glasses/contacts?  (glasses  contacts  both  neither)	please write a single letter (g c b  or n):	
native language?  (English  French  Eng/Fr bilingual  Other Language)	please write a single letter (e f b or o):	
nationality?  (USA  other)	please write a single letter (a or o):	
		
(Below, we will need you to tell us when you are available for experiments.)		
To participate in the pool, you will need to put down at least 5 hours,		
although the more hours you mark, the better your odds of being called.		
Even though you mark down at least 5 hours per week, we will have		
you participate in three hours of experiments during the semester, at most.		
If you are available at a given time, place an x to the right of that time.)		
		
I am available for 50 minutes starting		
Monday at 8 am:		
Monday at 9 am:			
Monday at 10 am:			
Monday at 11 am:							
Monday at noon:							
Monday at 1 pm:							
Monday at 2 pm:							
Monday at 3 pm:							
Monday at 4 pm:							
Tuesday at 8 am:	
Tuesday at 9 am:	
Tuesday at 10 am:	
Tuesday at 11 am:	
Tuesday at noon:	
Tuesday at 1 pm:	
Tuesday at 2 pm:	
Tuesday at 3 pm:	
Tuesday at 4 pm:	
Wednesday at 8 am:	
Wednesday at 9 am:	
Wednesday at 10 am:	
Wednesday at 11 am:	
Wednesday at noon:	
Wednesday at 1 pm:	
Wednesday at 2 pm:	
Wednesday at 3 pm:	
Wednesday at 4 pm:	
Thursday at 8 am:	
Thursday at 9 am:	
Thursday at 10 am:	
Thursday at 11 am:	
Thursday at noon:	
Thursday at 1 pm:	
Thursday at 2 pm:	
Thursday at 3 pm:	
Thursday at 4 pm:	
Friday at 8 am:	
Friday at 9 am:	
Friday at 10 am:	
Friday at 11 am:	
Friday at noon:	


When you have finished filling out this form, you can print it out and give it to your instructor
to give to me.  Alternatively, you can save it, and then mail it as an attachment to me at the following
email address:        cech@louisiana.edu

If you email it to me, I will send you a confirmation that I got the info.



for class numbers, use the following:	if you are in:	taught by:	meeting time:	meeting place:
				1	PSYC 110	Dr. Perkins	 8 am		Girard 203
				2			Ms. Romero	 9:10 am	Girard 203
				3			Mr. Marcantel	 11:30 am	Girard 201
				4			Dr. Perkins	 10:20 am	Girard 203