Queens College Time-2000 Project
Print out application and type or print information

Section 1: Biographical Information
Name (Please circle) Male / Female

Address



Phone

Social Security No. Date of Birth

Mother's Name Occupation

Father's Name Occupation

Ethnicity (optional*):


Language(s) spoken at home (optional*):


Section 2: Academic Background
High School

High School Address

High School Telephone

High School Average Mathematics Average

SAT I Scores
Date Verbal Math

Please list any high school special honors or awards you have received: List any math tutoring experiences you have had: Section 3: Extracurricular Activities
Please list any extracurricular activities involving mathematics (e.g. math competition, math teams, fairs). Have you filed a City University Freshman Application listing Queens College as your first choice?

  • Yes
  • No

If not, please contact us for information about application procedures (718-997-5600)

Section 4: Essay
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.

Certification
The statements made in this application/essay are true and complete to the best of my knowledge and belief.

Signature

Date


Questions? Call Dr. Alice Artzt at 718-997-5169.

TIME-2000 Information