The Summer
Institute in Applied Mathematics
2003 Registration Form
The Summer
Institute in Applied Mathematics 2003 Registration Form
I would like to register for the following course:
PLEASE NOTE: These courses run concurrently, so it is not possible to register for more than one.
O Yes, I would like to receive credit for this course.
(The application for credit will be mailed separately.)
Please print out this registration form and
mail it with your check for the materials fee ($50)
made payable to:
University of Colorado
Department of Applied Mathematics
Attention: Outreach
Campus Box 526
Boulder, CO 80309-0526
We will be accepting applications until May 30 or until the classes are full.
Participant Information:
Name:_________________________________________
Address (H): ___________________________________
City: __________________________ Zip:____________
Phone (H): _______________ Phone (W):____________
E-mail*: _______________________________________
*Please note: e-mail is the official method of communication at CU Boulder.
Do you use e-mail regularly? ________________
Do you use e-mail during the summer? ________
School: _____________ District: _____________
County: ______________ City: ______________
Public or Private? ____________________