2012 SUNY Potsdam-Clarkson Summer Mathematics Program

Application Form

 

Please print in black ink (or type).

 Name:______________________________________________________________________
Family Name/First Name/M.I.

Birthdate: ___/___/___ Gender*: M___ F___

Ethnic Origin:*__________________U.S. Citizen:Y___N__ Permanent Resident: Y___N___

College currently attending:_____________________________________________________

Expected date of graduation:_____/_____

Interest Areas (please rank ONLY those you would like to work in, 1 = top choice): , Algebra (Ellingsen)_______, Algebraic Graph Theory (Tamon)______, Stochastic Differential Equations (Black)________, Topological Graph Theory (Foisy)________.

College Address

Home Address

Street/P.O. Box

   

City

   

State/Zip

   

Phone Number

   

e-mail

   

(Note: Applicants should submit their transcript (unofficial is ok) and a letter of intent with their application.)

Signature:___________________________________________________Date:______________

  Faculty Ref. 1 Faculty Ref. 2 Send with transcripts to:
Name     Joel Foisy, REU Program
Street/P.O. Box     44 Pierrepont Ave.
Department     Dept. of Mathematics
City     SUNY Potsdam
State/Zip     Potsdam, NY 13676
Phone Number     E-mail: foisyjs@potsdam.edu
E-mail     Telephone: 315-267-2084
      Fax: 315-267-2806

Preference will be given to complete applications received by February 21, 2012. Electronic applications will be accepted this year. If submitting electronically, please make sure your name is on all of your documents (in particular, your statement of interest).

*optional