Interested in being a research subject at LSEC
Please copy-and-paste the content below into an e-mail for lsec.subjects at gmail.com.
Thank you.
First Name:
Last Name:
Sex: Male, Female
Age:
How much do you weigh (lbs)?
What is your height (i.e. 5 ft, 2 in)?
What is your zip code (i.e. 11794)?
Ethnicity (Check any that apply):
White or Caucasian
Black or African-American
Hispanic or Latino
American Indian or Alaska Native
Asian
Native Hawaiian or Other Pacific Islander
Other:
On which days are you available?
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Do you have any particular time-constraints for participation in this study (i.e., are you a student who will only be in town from X until Y)?
What is the best way to contact you?
Phone:
Email:
