summer institute

APPLICATION FOR (CM)² SUMMER 2003 INSTITUTE

Name_________________________________________________________________________

Home Address________________________________________Phone_____________________

City__________________________________________________Zip_____________________

E-mail address__________________________________________________________________

Bachelor's Degree: Institution_______________________Major_________________Year______

__________Yes__________No

If your answer is yes, what area?______________________what grade level?_______________

Have you taught any of the following (with or without a certificate)? (check all that apply)

__________Elementary School
__________Middle School
__________High School

List the college mathematics classes you have taken:

______________________________________________________________________________

_____________________________________________________________________________

Check which course(s) you would like to take. Each course meets on the UMC campus Monday through Friday for the indicated two-week period and is scheduled to meet 4 hours per day (10 AM to 12 noon and 1 PM to 3 PM). Taking any number of the four courses is allowed.

__________Mathematics of Change (June 9 to June 20)

__________Data Analysis and Probability (June 23 to July 3)

__________Algebraic Structures and Number Theory (July 7 to July 18)

__________Geometric Structures (July 21 to August 1)

Briefly explain why you are interested in taking the courses you have checked off.

______________________________________________________________________________

Please send your completed form to Professor Ira Papick, Mathematics Department, University of Missouri-Columbia, Columbia, MO 65211.

Deadline: Please submit application by April 5, 2003.

Admittance: Notification will be sent out by April 15, 2003.