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Mathematical Modeling in Industry XVII
A Workshop for Graduate Students
August 7-16, 2013
University of Minnesota

Applications Due: April 26, 2013.

A completed application consists of

  • COMPLETED ONLINE APPLICATION FORM (this form)
  • 2 FACULTY REFERENCE LETTERS
    The form below requests the names and email address of your 2 references. Once you have submitted this online form, an email request will be sent to these 2 faculty members. This email will provide a link for them to upload their letter. If there are issues, then recommenders may alternatively email their letters to mm-applications@ima.umn.edu.

If you have any questions about this form contact IMA at: mm-applications@ima.umn.edu

* fields are required.
Last Name*:
First Name*:
M.I.:
College/University*:
Department*:
E-Mail Address*:
Phone Number:
Institutional Street Address Line#1*:
Street Address Line#2:
City*:
State*:
Country*:
Zip Code*:
Gender*: MaleFemaleDecline to Report  
Race/Ethnicity*: American Indian or Alaskan Native
Asian
Black or African American
Hispanic or Latino
Native Hawaiian or Other Pacific Islander
White
Decline to Report Race/Ethnicity
Country of Citizenship*:
Status*: graduate student      year
  undergraduate student      year
Arrival date*: Departure date*:
Name and email address of 2 faculty members who will each provide a letter of reference:

#NameEmail
1:
2:
Please provide your top 3 choices of the projects for this workshop. You must submit 3 distinct choices!
1st Choice*:
2nd Choice*:
3rd Choice*:

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.

Have you participated in an IMA Math Modeling Program before?
Yes No      If yes, when:


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