2012 Online Application Form
No cost to apply through April 20, 2012
After that you must mail in $25 to be considered
We will email you details on payment

Please look over this form (or print it out) before beginning to fill it out, and note any information you need to look up. Look it up, and then come back and fill out the form, because this form does not allow you to save some answers and then come back later and do the rest.

Also, after you fill in a box, don't hit Return or Enter to go to the next box. On some browsers hitting Return or Enter submits your survey.  Rather, use Tab or Point-and-Click.  When you are done, click Submit at the bottom. 

Type your answers directly into the boxes. If you cut and paste from a full-featured word processor like Word, which uses nonprinting characters, submission may fail at the final submit step. If you really want to cut and paste, do so from a pure text program like NotePad or TextEdit.

If your application does get submitted prematurely or without certain information, just start over and resubmit, putting a note in the last comment box that this is a resubmission. If you get an error message on submission, please email Prof Maurer.

4-digit code you are making up to give to your two recommenders.
Please write this down right now and store it in a safe place. You will need it later.

Surname of applicant (family name)

Given Name (individual name that comes first in western countries)

Nickname (name you want friends to call you)

Gender: Male Female

Date of birth (Please use the format 13-Jun-1997, with the first 3 letters for the month. Do NOT use the all-number format xx/yy/zzzz.)

Note: To apply to MathPath 2012, your date of birth must be between 31-Jul-1997 and 30-Jun-2001 inclusive. That is, you must turn age 11 by 30-Jun-2012 at the latest (the approximate start of camp), and cannot turn age 15 earlier than 31-Jul-2012 (the approximate end of camp).

Name of male parent or guardian (if any):

Surname

Given name

Name of female parent or guardian (if any):

Surname

Given name

Postal mailing address for any hardcopy sent to applicant:

Line 1 (usually street address)

Line 2

City or Town State or Province abbreviation if in US or Canada (2 letters, both caps)

Zip or Postal Code

Country (If United States, type US)

Email addresses (important because this is how we want to reach you)

Male parent or guardian preferred email address (if any):

Female parent or guardian preferred email address (if different)

Student’s email address (if any)

Note: Most correspondence will be sent to all the email addresses you give above. However, correspondence about financial matters and some other sensitive information will be sent to the parent addresses only.

Telephone numbers:

Best workhours number to reach a parent or guardian, including area code if in the US or Canada and full country and city code elsewhere

Who will this reach?

Best non-workhours number to reach a parent or guardian

Student’s own phone number (if any)

Grade in School:   5       6 7 8       9

Other (e.g., home-schooled, higher grade, multiple grades; please explain briefly)

School at which you currently take your math courses (or most of them). See the next question before answering this one. If homeschooled, leave both questions blank.

       School Name        Town and State/Province

School at which you are officially registered, if different from above. For instance, you may be registered at a middle school but take all your math at a high school. You would list the high school above and the middle school here.

       School Name        Town and State/Province

What math (if any) have you studied outside of school. Please explain briefly.

Certain scores or rankings on various US and Canadian Math Contests will result in a MathPath merit scholarship. Look at http://www.mathpath.org/fees/schol.htm to learn which (but note, they must be scores from the 2011-2012 academic year). If you have already obtained one or more of these scores, this academic year or in past years, say so here.

How did you first hear about MathPath? Select one, but then, if there were one or two additional ways you heard about us that convinced you to apply, select them too.

You attended MathPath previously

A sibling attended MathPath (put his/her name in the Other box below)

Websearch

Newsletter, newspaper, or magazine article

Art of Problem Solving

Family or school friend

From students or coaches at a math competition or math circle

You got a letter from us addressed to you (at home or at school)

We emailed you

A teacher gave you our brochure or otherwise told you about us

You saw our brochure posted at your school

Other ( please explain)

Financial Aid (need based support). Please see http://www.mathpath.org/fees/finaid.htm to learn if you meet the income qualification for MathPath financial aid and how aid is computed. If you believe you qualify, click here.

Optional: If you already know whom you will ask to write your recommendation letters, and especially if you know their email addresses, put that here. But don’t delay submitting this form if you don’t know this information.

Academic Recommender

Recommender’s email

Non-Academic Recommender

Recommender’s email

Anything else you want to tell us (no long essays, please)

Thank you for applying to MathPath. We acknowledge applications every few days. If you don’t hear from us, email Prof Maurer. Also, if upon hitting submit you get an error page instead of a thank you page, don't immediately resubmit, but instead contact Prof Maurer. Most likely your application was still submitted, but only up to the answer box in which the error occurred. If we have most of your application, you will only have to resubmit a little. (The error was probably the inclusion of a non-ascii character, either because you used cut and paste, or because you used a non-English keyboard.)

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