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PREP 2002 WORKSHOPS Registration Form

PREP 2002 WORKSHOPS
Registration Form

 


CONTACT INFORMATION (Please type or print):

First Name ____________________________ M. I. ____

Last Name _______________________________________________________

Institution: ________________________________________________________

Address: ______________________________________________________________

______________________________________________________________________

City: _________________________________ State/Province: _______ ZIP: ________________

Country: ____________ Phone (w/Area Code): ____________________

FAX:____________________ Email: __________________________

PROFESSION:

[ ] Faculty at Two-Year College [ ] Faculty at Four-Year College/University [ ] High School faculty [ ] Graduate Student

[ ] Other: ___________________________

2002 WORKSHOP CHOICE : Please indicate your first (1), second (2) and third (3) choices, as enrollment is limited.

[   ] Presenting Math Masterpieces, Burger & Starbird; [ ] Regression Analysis, Scheaffer; [ ] Authoring Online Materials, Moore; [ ] PMET, Dubinsky; [  ] Explorations in Finite Mathematics, Shahin; [ ] Mathematical Modeling, Dossey/Giordano[ ] Dept. Chairs, Straley/Scott [ ] Knot Theory, Adams


REASONS FOR APPLYING: Please attach a separate page which briefly explains the reason(s) you wish to attend the indicated workshop, and how you plan to use what you learn.

 


 


HOW TO SUBMIT YOUR REGISTRATION:

Mail this registration form and attached written statement to:
PREP 2002
Gretchen Brown
c/o The Mathematical Association of America
1529 Eighteenth Street, NW
Washington, DC 20036

HOW TO FAX OR E-MAIL YOUR REGISTRATION:


This application may be downloaded and either faxed or e-mailed to the MAA. The fax number is 202-483-5450, e-mail for Gretchen Brown is gbrown@maa.org

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