Department of Psychology
FACULTY MENTOR REQUEST FORM
2008-2009

NAME/Class:    ________________________________________________________

AREA(S) OF INTEREST:     _____________________________________________

I wish to be:   ____ Active in the program    _____ Passive in the program

FACULTY SELECTIONS:    Rank at least three faculty you would like as a
                                                    Mentor  (1 = most preferred, etc.)

If changing Mentors, please state your current one:  __________________________

_____ Alfonso Caramazza _____ Jason Mitchell
_____ Daniel Gilbert _____ Stephen Pinker
_____ Joshua Greene (on leave Fall 2008) _____ Diego Pizzagalli
_____ Richard Hackman _____ Daniel Schacter
_____ Christine Hooker _____ James Sidanius
_____ Jill Hooley _____ Jesse Snedeker (on leave Fall 2008)
_____ Ellen Langer _____ Elizabeth Spelke
_____ Richard McNally _____ Daniel Wegner
_____ Wendy Mendes _____ John Weisz

Please submit this form to the Undergraduate Office (William James 218) by
October 3, 2008
for Fall semester and February 6, 2009 for Spring semester.