Application to participate in the AIM

Mathematics Teachers' Circle immersion workshop

to be held at AIM in Palo Alto, CA

July 23-27, 2012

Applications are evaluated as they are received and will remain open only until all places are filled.

Successful applicants will receive support for hotel and meals during the immersion week.

FirstName:

LastName:

Email Address:

School where you teach:

Courses you usually teach:

References

Please note that letters of recommendation are not automatically solicited from your references.

Reference 1 full name:

School/company/etc:

Email address:

Reference 2 full name:

School/company/etc:

Email address:

Statement of Interest

Please indicate your reasons for wanting to participate in the Math Teachers' Circle.

Prepare the statement on your local computer and paste into the box below.

Preference will be given to applicants who indicate an intention to participate in the AIM Math Teachers' Circle during the upcoming academic year.

Statement:

You will be asked to confirm your information before final submission.