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IMA General Membership Application Form

Thematic Year:



You need to submit the following files together with the application form:

Curriculum vitae including list of publications.
Personal statement describing scientific interests, research plans, and reasons for wishing to participate.
One letter of recommendation to be sent directly to applications@ima.umn.edu. If necessary, paper materials may be sent by regular mail or FAX, attention "Applications", to the address below.

Institute for Mathematics and its Applications
University of Minnesota
114 Lind Hall
207 Church Street S.E.
Minneapolis, MN 55455

There is no deadline for general membership applications. They may be sent anytime until the end of the program, and will be considered as long as funds remain available.

Last Name:
First Name(s):
Current Position:




Home address:
Office address:
Home phone:
Office phone:
E-mail address:
Date Ph.D. received or expected:
Ph.D. Institution:
Ph.D. Field:
Gender:
Race:






Citizenship:



Give the proposed start and end dates of your visit. Residency should fall in the period September through June of the thematic year. Extension into the preceding or following summer may be requested if justified.
Proposed start date:
Proposed end date:
Number of months of local expense support requested:
Describe other support you will be receiving or have applied for:
                            

Equal Opportunity Statement

The University of Minnesota is committed to the policy that all persons shall have equal access to its programs, facilities, and employment without regard to race, color, creed, religion, national origin, sex, age, marital status, disability, public assistance status, veteran status, or sexual orientation.

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