Application Form for New Participants in the Missouri NExT Friday morning (4/18) workshop, Spring 2008

Eligible applicants:  Full time faculty with under 6 years in current position in the mathematical sciences, teaching at an institution in the Missouri Section.

Please download this form, and mail or fax it to the address at the bottom.

Please fill out all sections of this form.

I. Information

Name: ________________________________

Soc. Security No.:__________________

Address: ________________________________________________________________

Telephone: _________________________

E-mail:______________________________

Highest Earned Degree: ____________________________________________________

Institution: __________________________________________________Year:_______

Institution where you received your undergraduate degree:

________________________________________________Year: ______

Areas of mathematical and/or education specialization:

___________________________________________________

Institution where you are now teaching: _______________________________

When did you start teaching here?____________________________________

Current position:__________________________________________________

II. Personal Statement

We seek a diverse group of participants from a wide range of institutions. Your interest in the teaching and learning of undergraduate mathematics, and the opportunity to implement changes in your own classroom are important considerations.

On a separate sheet, please tell us about yourself. Include a description of any teaching positions that you have held and also comment on the following topics:

- What is your personal approach to teaching and learning? Include any relevant experiences. - What do you hope to gain during your participation in the Missouri NexT program?

III. Statement of support by Chair

Each applicant must have the support of his or her department. Financial support is also important, specifically funding for travel and hotel accommodation at the Spring Meeting of the Missouri Section and the Missouri NExT activities that occur just prior to the meeting. (However meeting registration costs including Friday lunch and Saturday breakfast will be fully funded for successful applicants.)

Our department supports the participation of __________________ in Missouri NExT.

Our Department/Institution can fully fund the travel and hotel costs for the candidate for participation in this program: (circle one) YES / NO.

If you circled NO: Finances should not be an impediment to participation in Missouri NExT. We have limited funding to support candidates whose home institutions are unable to do so. Please detail what funding, if any, you can provide:

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

Department Chair (name): ________________       Signature:_______________________    Date:___________

IV. Where to send this application form:

Send this application form along with the Personal Statement to the address given below by April 5, 2008. The applications will be reviewed as they are received.

Mary Shepherd
Secretary/Treasurer, Missouri Section and Missouri NExT organizer
Department of Mathematics & Statistics
Northwest Missouri State University
Maryville, MO  64468

Phone: (660) 562-1205
Fax: (660) 562-1188
E-mail: msheprd@nwmissouri.edu

Missouri NExT is supported by the Missouri Section of the Mathematical Association of America and by another grant. 

Missouri Section of MAA

For information and comments please e-mail msheprd@nwmissouri.edu