Michigan Project NExT

Fellowship Application Form

Deadline: March 15, 2000

Last Name: First Name(s)/Initial(s):
E-mail address: Office Phone: Home Phone:

Social Security Number:

Highest Academic Degree: Year:
Institution:

Institution where you received your undergraduate degree:

Research interests:

Current employer and address:

Number of years at current institution:

Previous Employer:

Describe courses you have taught or are currently teaching:

Approximate cost for travel to and from the meeting? $

Note: this is NOT a secure page.
If you do not wish to send this information electronically,
a hard copy is acceptable.
Simply print this page and include it with your application materials.

Applicants should submit by March 15, 2000 to

Dr. John Clifford
Department of Mathematics and Statistics
University Michigan-Dearborn
Dearborn, MI 48128-4259

Phone: (313) 593-4259
Fax: (313) 593-5552
Email: jcliff@umd.umich.edu

Project NExT
is sponsored by the
Mathematical Association of America
with support from the
Exxon Education Foundation .

This page is maintained by Randall Pruim. Please email comments, corrections, suggestions and the like to rpruim@calvin.edu.

Document last modified Monday, 22-Jan-2001 11:59:12 EST