APPLICATION FORM FOR MASS PROGRAM AT PENN STATE

The MASS program is a semester-long program that runs during the fall semester.      


I am applying for the:         ______ 2015 MASS Program

                              

                             


NAME:__________________________________________________________________________________________________

         (Last)                              (First)                             (MI)


E-mail:_______________________________________


Current Address:                                    Permanent Address:


______________________________________________      ___________________________________________________

(Street)                                            (Street)


______________________________________________      ___________________________________________________

(City)                                              (City)


______________________________________________      ___________________________________________________

(State/ZIP Code)                                    (State/ZIP Code)


______________________________________________      ___________________________________________________

(Current Phone Number)                              (Permanent Phone Number)


Date and Place of Birth:____________________________________________________


Sex:    M      F                            Are you a resident of Pennsylvania:  Y N


Your Citizenship Status(check one):         ______ United States citizen

                                            ______ Permanent resident of U.S.

                                            ______ Nonresident alien, visa type_______


High School Attended and Graduation Date:____________________________________________________


_____________________________________________________________________________________________

 

College(s) Attended and Expected Date of Graduation:_________________________________________


_____________________________________________________________________________________________


_____________________________________________________________________________________________

 

List all Math Courses taken and in progress on an attached form.


(optional) Courses in Physics, Mechanics, Astronomy, Statistics, Computer

Science etc.: 


_____________________________________________________________________________________________


_____________________________________________________________________________________________


_____________________________________________________________________________________________


List at least two faculty members who can provide a reference for you:

  

_____________________________________________________________________________________________


_____________________________________________________________________________________________


(optional) Extra-curricular math activities (Putnam competitions, olympiad, etc.):


_____________________________________________________________________________________________


_____________________________________________________________________________________________


(optional) Participation in REUs and other summer programs:


_____________________________________________________________________________________________


_____________________________________________________________________________________________


(optional) In what areas of mathematics are you interested?  Have you studied any areas on your own? 


_____________________________________________________________________________________________


_____________________________________________________________________________________________


_____________________________________________________________________________________________


How did you learn about the MASS Program/the REU program?


_____________________________________________________________________________________________


_____________________________________________________________________________________________


_____________________________________________________________________________________________


Please write a short essay on a separate page describing your interest in math.


If you are a Penn State Schreyer Honors College student and are applying for the MASS  program, please check which courses 

you are applying to enroll in:


___ Full Program,


___ MATH 497A, ___ MATH 497B,___ MATH 497C,___ MATH 497D, ___ MATH 497E




_____________________________________________________________________________________________

(Signature of Applicant)                                          (Date)


After filling out this form, please mail it to:

MASS/Summer REU Selection Committee
107 McAllister Building
Department of Mathematics
The Pennsylvania State University
University Park, PA 16802-6401

If you have any questions or need further assistance, contact MASS Program at the above address or by e-mail at: mass@math.psu.edu

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Admission:Transfer Location:University Park Major:Mathematics Code:MTHBS