Student Application: Willamette Valley Consortium for Mathematics Research

Student Contact Information

Name:

Email address:

Date of Birth:

Check One: ____US Citizen ____Permanent Resident ___ Student Visa ___ Other

Gender: ______(used for housing purposes)

Name of College/University:

Highest degree offered by your college/university:

Your School Address (Street, Campus Box Number, City, State, Zip):

Cell Phone:

Your Major and Expected Graduation Date:

Your current class year: __ freshman __ sophomore __junior __senior

Will you be a student at this institution in the fall of 2013? ___ Yes ___ No (If no, please explain.)

Home Address (Street, City, State, Zip):

Home Phone Number:

Project Preference

For which project(s) are you applying? Rank your preferences in order from 1 to 4, with 1 being your highest preference. (You may apply for as many or as few as you wish.) The program activities will require your regular attendance in activities at the mentors’ school.

___ Topological & Statistical Data Analysis(mentors: Johnson & Purdy at Willamette University)
___ Competitive Graph Coloring (mentors: Dunn & Nordstromat Linfield)
___ Visualizing Dessins d'Enfants (mentor: Cameron at Lewis & Clark)
___ Geometric Intersection Graphs (mentor: Laison at Willamette)
___ Mixing Times & Markov Chains (mentor: Otto at Willamette)

Mathematics and Computer Science Background Information

Please list all relevant mathematics and computer science courses you have completed. Include the semester the course was taken and the grade you earned.

Course Name: / Semester Taken: / Grade Earned:

Math GPA: ______Overall GPA: ______

From 1-10 (1=low, 10=high), rate your interest in attending graduate school in mathematics or computer science. ______

Academic References

Include the names of two people who will send recommendation letters on your behalf to evaluate your ability, experience, and potential for research.

Reference Name:

Telephone Number:

E-mail:

How will this recommender be sending your letter of recommendation? ___ mail ___email

Reference Name:

Telephone Number:

E-mail:

How will this recommender be sending your letter of recommendation? ___ mail ___email

Access to undergraduate research

The number of extra-curricular math or computer science research projects in which you have participated ______
The percentage of majors from your school, mentored by your school’s faculty (during academic year or summer), that have participated in extra-curricular mathematics or computer sciences research projects in the past two years.

Mark one. ___ less than 5%, ___ approx 5-25%, ___ 30% or more

The number of students from your school, mentored by your school’s faculty, that plan to participate in extra-curricular mathematics or computer sciences research projects in summer 2013. ______

(Please encourage your letter writers to include these numbers in their recommendation.)

Believing that diversity contributes to academic excellence and to rich and rewarding communities, the Willamette Valley Consortium for Mathematics Research is committed to recruiting and accepting into the program a diverse group of mentor, teacher and student participants. We seek applications, particularly those from historically under-represented groups, whose work furthers diversity and who will bring to the program varied experiences, perspectives and backgrounds.

Please include in your statement of interest any experiences, perspectives, or background that you might bring to the REU that would help further our commitment to diversity.

Check any of the groups to which you belong (optional):

__Women __Hispanic/Latino __Black/African American __Native American

__Native Alaskan __ Native Pacific Islander __Asian American __White

I certify that all information given above and in the supporting documentation I have provided is true and correct to the best of my knowledge.

Signature: ______(type your name for e-signature)