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{\bf {\large Application Form}\medskip\\MAA NREUP Summer Research Experience for Undergraduates at UTEP\\``Applications of Discrete Wavelet Transformations''}\medskip\\{\bf June 10--July 19, 2013}
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{\bfseries\itshape Application Deadline: May 10\bigskip}\end{center}
Applicants will be interviewed May 13--15. A detailed program description can be found at \href{http://helmut.knaust.info/mediawiki/index.php/2013NREUP}{http://helmut.knaust.info/mediawiki/index.php/2013NREUP}.\bigskip

\noindent Please fill out this form, print it and send it---accompanied by your \textbf{resume} and \textbf{unofficial transcript(s)}---to \href{mailto:hknaust@utep.edu}{\texttt{hknaust@utep.edu}}, or to Dr.~Helmut Knaust, Department of Mathematical Sciences, The University of Texas at El Paso, El~Paso TX 79968-0514.\bigskip

\begin{Form}[action=mailto:hknaust@elp.rr.com,encoding="pdf",method=get]
\noindent\TextField[width=5cm]{Last name:}\hfill\TextField[width=4cm]{First name:} \hfill \TextField[width=1em]{M.I.:}\medskip\\\TextField[width=3.5cm]{UTEP-ID:  }\hfill\TextField[width=4cm]{UTEP Email:}\hfill\TextField[width=3.5cm]{Phone:}\medskip\\
{Are you a U.S. Citizen or permanent resident?} \CheckBox[width=1em]{Yes} \CheckBox[width=1em]{No}\medskip\\
\TextField[multiline,height=3cm,width=\textwidth]{Why did you choose Mathematics as your major?\medskip\\} 
\TextField[multiline,height=3cm,width=\textwidth]{What are your career goals for the next five years?\medskip\\}
\TextField[multiline,height=5.2cm,width=\textwidth]{How would the summer research experience benefit you academically and professionally?\medskip\\}
\Submit{Submit}
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{\noindent\footnotesize \textit{The National Research Experience for Undergraduates Program (NREUP) is a program of the Mathematical Association of America, funded by the NSA (H98230-13-1-0270) and the NSF (DMS-1156582).}}
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