University of Minnesota
University of Minnesota
http://www.umn.edu/
IMA Web
IMA 2011 PI Summer Program for Graduate Students:
Topological Methods in Complex Systems
July 25-August 12, 2011
University of Pennsylvania, Philadelphia
Registration Form
Application deadline: May 9, 2011

Note: This application is for graduate students interested in the 2011 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

    (1) a personal statement/letter describing background and reasons for wanting to attend;
    (2) a letter of nomination from his/her Ph.D. advisor.

Both letters should 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
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Hispanic or Latino
Native Hawaiian or Other Pacific Islander
White
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Organization*:
Department*:
Mailing Address*:
Street Address Line#1:
Street Address Line#2:
City:
State:
Country:
Zip Code:
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

And please send a copy of your I94 card to the IMA at:
Attn: Summer Graduate Program
Institute for Mathematics and its Applications
University of Minnesota
400 Lind Hall, 207 Church Street SE
Minneapolis, MN  55455


Arrival Date*: 2011
Departure Date*: 2011
Comments & Questions:
    
* Required fields.