Home Address: _________________________________________________
_________________________________________________
_________________________________________________
Home Telephone: _________________________________________________
Email (if
possible):
_________________________________________________
T-shirt size:
M
L XL
School: _________________________________________________
Current Grade: _________________________________________________
Mathematics course(s) you are currently taking:
_________________________________________________
Extra-curricular Activities:
_________________________________________________
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On a separate
sheet
of paper, write your mathematical autobiography (include math-related
events
that impressed you), and tell us why you want to attend a summer camp
in
mathematics.
*************************************************************************
Please arrange to have one of your mathematics teachers fill out the Nomination Letter. List below the name and address of the teacher you have asked to do this:
Teacher's Name: _________________________________________________
School Telephone Number: _________________________________________________
Please return by May 1 to the address listed below or fax to (919) 760-8141.