Application for Texas Section Project NExT Fellowship

Contact and Education

Last Name:		First Name:
Home Phone:		Fax:
E-Mail Address:
Highest Academic Degree:		Institution: Year:
Undergraduate Institution:
Research Interests:

Employment

Current Employer		Number of Years with Current Employer
Work Address		Work Phone
City, State Zip:	,
Describe courses you are currently teaching
Describe courses you have taught
Previous Employer

Support Materials

Teaching statement (PDF or MS Word format)
Curriculum vitae (PDF or MS Word format)

Application for Financial Support

Texas Project NExT will be supported for two years. Support includes travel expenses and lodging to the fall meeting (at SHSU) and the spring meeting, which occurs jointly with the meeting of the Texas Section of the MAA. Loding support is for double occupancy, or half of your expenses if you choose to obtain a single room.

Estimated Expenses
Gender:	Male Female
Preferred roommate if desired (optional):
Single room (I will be liable for half the costs):
Airfare:
Gas:
Lodging:
Car/Taxi:

If you have any questions, please contact Dr. Jacqueline Jensen:

Dr. Jacqueline Jensen
Department of Mathematics and Statistics
Box 2206
Sam Houston State University
Huntsville, TX 77341-2206

Phone: (936) 294-3517
Fax: (936) 294-1882
Email: jensen@shsu.edu

Project NExT is sponsored by the Mathematical Association of America with support from the Texas Section of the MAA.