Application Form
REU In Mathematics At CSUSB
Name:__________________________________________
Address:________________________________________
_______________________________________________
Telephone Number:________________________________
Email:__________________________________________
College attending:_________________________________
Present Class Level:_____________________________________
Citizenship Status:_________________________________
Circle any of the groups to which you belong (OPTIONAL):
Women / Hispanic / African American / Native American /
Native Alaskan / Native Pacific Islander / Disabled / Other:_______
List the names and addresses of the two faculty that
you have asked for references.
1. Describe your academic interests.
2. List the mathematics and computer science courses that
you have taken or are currently enrolled in. Indicate the grade you earned in
the courses already completed.
3. Describe any independent study or research projects in
which you have been involved.
4. What are your long-term career plans?
Additional Remarks:
Please return this form along with unofficial transcripts by February 24, 2012 to:
Corey Dunn
Department of Mathematics
5500 University parkway