go to SAMSI home page
19 T.W. Alexander Drive
P.O.Box 14006
Research Triangle Park, NC 27709-4006
Tel: 919.685.9350
Fax: 919.685.9360
[email protected]

 

 

SAMSI/CRSC UNDERGRADUATE WORKSHOP

May 22-26, 2006

Application

 

To apply to attend the workshop, please fill out the form below, and then click the SUBMIT APPLICATION button. All items are required. Following submission, a confirmation of your application will be displayed: print a copy for your records.

Applications will be considered until April 21, 2006. Upon acceptance for the program, individuals must confirm by e-mail within seven days their intention to participate and also provide details of their travel plans (otherwise their registration will be canceled and their place given to another applicant). Accepted participants will need to purchase plane tickets with a three-week advance fare.

Please send letters of reference and questions to [email protected].


Applicant Information

First Name Last Name

Address

City State Zip Code

Telephone (Format: xxx-yyy-zzzz)

E-mail

College or University

Major

Year GPA


Statement of Interest

Please provide a brief statement (at most one page) on why you wish to attend the workshop. You may cut and paste text from another application you wish.


Submission

By submitting this application you agree that:

 

 

SAMSI Home Page

 

 

 

 

 

Entire site © 2002-2006, Statistical and Applied Mathematical Sciences Institute. All Rights Reserved.

This page updated on April 13, 2006 1:36 PM