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IMA Program Application Form

To request an invitation to an IMA program, please fill-out the following application and upload any required documents mentioned below.

Funding is limited and requires completion of the Funding Request portion of the form. If the event your are interested in does not appear in the list you may request participation without IMA funding by e-mailing visit@ima.umn.edu. There are no registration fees for IMA programs.

To apply for a visit of one month or more, complete the General memberships application.

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Program Title:

APPLICANT INFORMATION [* fields are required.]
First Name*:
Middle Name:
Last Name*:

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Institutional mailing address:
Street Address Line#1*:
Street Address Line#2:
State*: (required if Country is United States)
Zip Code*:
Home Page URL(if any):

Highest educational degree*:         
Primary field of interest*:
Year awarded*:


Country of Citizenship:
Country of Residence:
If not US citizen are you a US permanent resident?: Yes   No

Referred by:

If not referred, how did you hear of this program? 


Some limited funding may be available for participation. Indicate your funding request and provide justification below. Participants from IMA Participating Institutions and Corporations may be eligible for funding from their institution's membership account.

Please indicate if you are requesting funding*:

Describe any other support for this travel you will be receiving or have applied for:

Please read about our reimbursement policies.


Curriculum vitae including list of publications.
Personal statement describing scientific interests, research plans, and reasons for wishing to participate.
Transcript (Required for 2016 Math Boot Camp)
Please specify whether you wish to attend the Tutorial on 6/6-6/7

Name and email address of one faculty member who will provide a letter of reference:
The faculty member will be contacted and provided with information on how to submit the letter.


Thank you for your interest in IMA Programs.

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