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IMSM 2005

Application Form


If you want to report a problem or are not sure what you need to do then please contact support@math.ncsu.edu.

This form gets sent to the CRSC; contact Lesa Denning if you have any questions.

Name:
Affiliation:
Home Address:
City, State, Zip Code:
Phone #:
Fax #:
E-mail Address:
Adviser:
Adviser Affiliation:
Adviser Phone #:
Adviser Fax:
Adviser E-mail:

Please briefly describe your research interests:



Please mail your transcripts and recommendation letters to:

Lesa Denning
Center for Research in Scientific Computation
Box 8205
North Carolina State University
Raleigh, NC 27695-8205
Voice: 919-515-5442
Fax: 919-515-1636
Email: .