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IMA 2010 PI Summer Program for Graduate Students:
Computational Wave Propagation
June 7-25, 2010
Michigan State University
Registration Form
Application deadline: May 1, 2010

Note: This application is for graduate students interested in the 2010 PI Summer Program. While the program is primarily for students at IMA Participating Institutions, applications from other Universities (US and abroad) will be considered as funding and logistical constraints allow.

A student from an IMA Participating Institution should select his/her institution on the application form and arrange for a letter of nomination from his/her department chair to be sent to IMA (email to ).

A student from an institution that is not an IMA Participating Institution should select "Other" as the institution and provide two letters via e-mail to . One letter is from the student describing his/her background and reasons for wanting to attend. The other is a letter of nomination from the student's major professor, director of graduate studies, or department chair.


First Name*:
Middle Name:
Last Name*:
Suffix (Jr., Sr.):
Gender*: Female   Male   Decline 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
Organization*:
Department*:
Full Mailing Address*:
Email address*:


Country of Residence (for visa purposes):


Country of Citizenship (for visa purposes):

If not US citizen are you a US permanent resident?: Yes  No


Arrival Date*: 2010
Departure Date*: 2010
Comments & Questions:
    
* Required fields.