Budapest Semesters in Mathematics Snail Mail ApplicationPlease print this form; circle the semester or semesters you are applying; write in the year/s you are applying for one semester 2 semesters (one academic year): Spring year_________________ Fall year __________________ Name __________________________________ Please circle: M ___________ F ______________ Your complete/current school mailing address: _____________________________________________ _____________________________________________ Phone _______________________________________ Your e-mail address _____________________________________________ Alternate Internet address (if applicable) _____________________________________________ _____________________________________________ Phone number where message can be left: _____________________ Permanent home address:__________________________________ _______________________________________________________ Home Phone_____________________________________________ Parent/s e-mail address/s __________________________________ _______________________________________________________ Complete address during the two months before the beginning of the semester plus date this address becomes valid: _______________________________________________________ _______________________________________________________ Phone__________________________________________________ this address will become valid beginning: __________________________ Name of next of kin or person to be notified in case of emergency: _______________________________________________________ Address if different from 7 above _______________________________________________________ _______________________________________________________ Phone __________________________________________________ Birth Date _________________ Country of Birth _________________________ Citizenship: ________________Birth City and State _______________________ Name and address of college currently attending: _______________________________________________________ _______________________________________________________ _______________________________________________________ Expected date of graduation and expected degree earned: Graduation Date ___________ Degree Sought ________________________ Other colleges attended: names of colleges and dates of attendance: _______________________________________________________ _______________________________________________________ List all college-level mathematics courses taken or that will be taken prior to participation (include any such courses taken in high school). Note that under normal circumstances you should have completed either Abstract Algebra (groups, rings, fields) or Advanced Calculus (a course where the theorems of single variable calculus are proved) prior to attending BSM. .....Course Name/Description..............................Course Grade.....Semester/Yr ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ List all scholastic or academic honors you have received in college including scholarships, fellowships, prizes, honor societies, etc. ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ List
foreign languages that you know and indicate your degree of speaking proficiency,
i.e., poor/fair/ good/fluent. (Note: Knowledge of a foreign language is not
a prerequisite for attending Budapest Semesters in Mathematics.) Language.............................Proficiency ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Have you had the experience of travelling and/or living in a foreign country? If yes, identify country, and year, duration and nature of stay. ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Are there any circumstances relating to housing, transportation or medical needs which require special consideration? Allergies? Non-smoking? Room mate choice? (This information will not be used in the evaluation of an application, but is useful to know in preplanning for the semester.) ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ List names and addresses of two mathematicians you have asked to write letters of recommendation. Indicate nature of relationship to you, e.g., teacher, college administrator, friend. ___________________________________________________________________________ ___________________________________________________________________________ In order that in-country planning by your Hungarian hosts may begin as soon as possible, please indicate your order of preference for the two housing options explained in the information brochure by marking the option you prefer with an "X". _______ Renting a furnished apartment and sharing it with other BSM students.
Indicate whether or not you are interested in attending the intensive Hungarian language course for the two weeks preceding the semester. (Note: This class is NOT included in the tuition and fees.) _______ Yes, I wish to attend the language course. Essay. Please explain on an attached page what motivated your decision to apply for this program. Particularly helpful would be a discussion of your mathematical interests, your interest in living in a foreign country, or any previous contact or relationship you may have had with Hungarian people. In order to facilitate preparation by the program organizers in Budapest, please list, in order of preference, up to seven courses you would be interested in taking from those listed in the section "Academic Program'' of the brochure. You will in no way be bound by this list and will be free to make your final choice in Budapest, after consulting with the instructors. Please note, however, that courses favored by too small a number of applicants may be cancelled. Courses you might like to take: Have you taken a course on this subject before? (If yes, please give some details.) ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ How did you learn about Budapest Semesters in Mathematics? (If an instructor or a former participant brought the program to your attention, please give us his/her name and address.) ____________________________________________________________________ Is there is any additional information which you desire to provide or which you believe may be helpful in processing your application? You may enclose additional sheets if necessary. Student's signature ___________________________________________ Date __________________ Completed evaluations should be mailed or emailed to: Professor Paul D. Humke , North American Director Budapest Semesters in Mathematics Internet Phone 1-800-277-0434 (voice Paul and Bonnie) 1-507-786-3114 (voice Mary Kay) 1-507-786-3116 or 3549 (fax) Questions? Click here: budapest@stolaf.edu |
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