Section
1: Biographical Information
If not, please contact us
for information about application procedures (718-997-5600)
Section 4: Essay
Certification
Signature
Questions? Call Dr. Alice Artzt
at 718-997-5169.
Name
Address
Phone
Social Security No.
Mother's Name
Father's Name
Ethnicity (optional*):
Language(s) spoken at home
(optional*):
Section 2: Academic
Background
High School
High School Address
High School Telephone
High
School Average
SAT I Scores
Date
Please list any high school special honors or awards
you have received:
Please list any extracurricular activities involving mathematics
(e.g. math competition, math teams, fairs).
In a well-constructed essay of approximately 500 words,
tell the TIME-2000 Project staff about yourself, your interest in
and commitment to the teaching of mathematics. and any information
not included elsewhere that you wish the staff to consider when
reviewing your application (e.g., special skills and talents,
physical challenge, etc.) . Please print or type your essay on
a separate sheet. Make sure to include your name, signature, and
date on the essay.
The statements
made in this application/essay are true and complete to the best
of my knowledge and belief.
Date