Michigan Project NExT

Fellowship Application Form

Deadline: April 15, 2005

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 15, 2005 to

Dr. Matthew Boelkins
Department of Mathematics
Hope College
Holland, MI 49423

Phone:616-395-7909
Email: boelkinsm@hope.edu

Graduate students with ABD status are also encouraged to apply.

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 Thursday, 07-Apr-2005 17:00:17 EDT