Application Form for IMA Mathematical Modeling in Industry XV

University of Minnesota
http://www.umn.edu/

Application Form for IMA Mathematical Modeling in Industry XV
August 3 - 12, 2011

Please submit recommendation letters by Fax 612-626-7370 or by Email to mm-applications@ima.umn.edu. Deadline for Applications: April 30, 2011. Successful applicants will be notified by May 9, 2011.

First Name:
Last Name:
Institution:
Department:
Address Line 1:
Address Line 2:
Address Line 3:
City:
State:	Zipcode:
Country:
Email:
Phone:
Status:	graduate student year
	undergrad student year
Arrival date:	(mm/dd/yyyy) *Please use right format for a valid date.*
Departure date:	(mm/dd/yyyy) *Please use right format for a valid date.*
Gender:	Female MaleDecline to Report
Race:	American Indian or Alaskan Native Asian Black or African American Hispanic or Latino Native Hawaiian or Other Pacific Islander White Unknown Decline to Report Race/Ethnicity
Citizenship (for visa purposes):

Brief Background:

What is your career goal?

What courses have you taken that may be relevant to the workshop participation?

In the space provided, please state why you are interested in participating,
what are your expectations.

Please provide your top 3 choices (in ranked order) of the industrial projects for this workshop. You must submit 3 different project choices!

Have you participated in an IMA Math Modeling in Industry workshop in the past [Yes or No], if Yes, please indicate when?

Two letters of recommendations are required, one must be from your advisor, director of graduate studies, or department chair.

#1 recommendation from:
#2 recommendation from:

The University of Minnesota is an equal opportunity educator and employer.

Trouble seeing the text? | Contact U of M | Privacy

Last modified on