PREP 2002 WORKSHOPS
CONTACT INFORMATION (Please type or print):
First Name ____________________________ M. I. ____
Last Name _______________________________________________________
City: _________________________________ State/Province: _______ ZIP: ________________
Country: ____________ Phone (w/Area Code): ____________________
FAX:____________________ Email: __________________________
[ ] 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:
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 firstname.lastname@example.org