Part 1: Personal Information and References

Date:

Name:

Are you a United States Citizen or Permanent Resident?

Birth date:

Expected date of graduation:

Name of your institution:

Overall GPA:

Math GPA:

Your address at college:

Your telephone number at college:

e-mail address:

Dates of your Spring Break in 2008

Home Address and phone number:


Address, phone number, e-mail address during your Spring Break:

Name, address, and phone numbers of TWO persons (college mathematics professors) who will write references for you. Their letters should be sent to us at hygema.1@nd.edu

1.

2.

If you wish, you may identify yourself as belonging to one or more of the following groups which are under-represented in the mathematical sciences (put an X on the appropriate line):

Women.......... American Indians........... Blacks.........
Hispanics......... Native Alaskans............
Native Pacific Islanders..........

Part 2: College Mathematics Courses

Please provide the following information (on a separate page):

Titles of college mathematics courses completed & textbooks used:

Titles of college mathematics courses in which you are presently enrolled & textbooks you are using:

Part 3: Essay

On a separate page provide the following essay:

In a brief essay of one typed page describe your mathematical interests and career goals.  Is it your intention to pursue graduate study in Mathematics after obtaining your undergraduate degree?  You might indicate in this essay which of the eight research problems interests you most.
See http://www.nd.edu/~ndreu/research_problems.html