** Mathematics USRA 2022 Application Form **
** Deadline: January 27, 2022 at 3 PM **
# Student information
Name:
Email address:
Program (e.g., Mathematics):
Year as of January 2022 (e.g., 3):
Address:
# Background
Relevant coursework: [Includes courses in Mathematics and Applied Mathematics, as well as courses in other departments that could be relevant to your mathematical interests.]
Extracurricular activities: [Includes activities such as the Directed Reading Program or MaCAW.]
# Reference and Interests
—- Arrange for two reference letters in support of your application. The letters should be sent to math-usra@uwo.ca, mentioning your name in the subject line. At least one (but preferably both) of the letters must be written by a faculty member from the Department of Mathematics who was your instructor in at least one course.
Names of your references:
Potential supervisors: [List faculty members you would be interested in working with. You can list as many or as few (including none) faculty as you want. You're not expected to have already made arrangements at this point, but if you've already discussed the project with some faculty member, please let us know.]