IMPORTANT: After you apply with this online form, we will contact you electronically to let you know whether or not you have been accepted. This consideration process may take up to two weeks. Acceptance is contingent upon several factors, including but not limited to space; availiablity of resources, supplies, and funding; your compliance with the workshop's rules and requirements; and the following application information.

Please provide the following information:

Last Name
First Name
Email Address
Phone Number (with area code)

Do you plan to take advantage of free on-campus housing? If so, please check the adjacent box.

What courses are you currently teaching, and at what grade level?

Where are you currently teaching?

What is your educational background?

For how long have you taught and where?

Give a brief statement on why you would like to be selected for this workshop.

Do you have a disability or other special needs that require accommodations? If yes, please explain.

Any additional questions or comments?
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NDSU MATH DEPARTMENT
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