Michigan Project NExT

Fellowship Application Form

Deadline: April 23, 2004

Applicants should submit

a copy of the form below (either electonically or a hardcopy), and
a letter of support from a department chair or academic dean guaranteeing financial support for transportation, meals and lodging at the Section Meeting.

by April 23, 2004 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

Note: Graduate students interested in participating in the Project NExT Symposium should NOT use this form. There are separate intructions and application procedures for graduate students.

Last Name:	First Name(s)/Initial(s):

E-mail address:	Office Phone:	Home Phone:

Highest Academic Degree: Year:

Institution:

Institution where you received your undergraduate degree:

Research interests:

Educational interests (include things you would like to know about as well as things you already know about):

Current employer and address:

Number of years at current institution:

Previous Employer:

Describe courses you have taught or are currently teaching:

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.

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, 01-Mar-2004 08:36:05 EST