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Rice University Summer Institute of Statistics

May 21st July 27th, 2012


RUSIS Application
Deadline March 15th, 2012
Name

________________________

Date

____________________

Address

_______________________

Tel

____________________

_______________________

email ____________________

_______________________

Date of Birth _____________

_______________________

Place of Birth _____________

Social Security Number _____________________


US citizenship or Permanent Resident Status: Yes ____ No ____
Student Classification During Academic Year 2011 2012: (Check only one)
Freshman ____ Sophomore ____ Junior ____ Senior ____ Graduate ____
Institution:

_______________________________________

Major/Minor:

_______________________________________

GPA: ______

Number of Credit hours: ______

Expected Graduation Date: ________


Current Mailing Address

___________________________________________
___________________________________________
___________________________________________
___________________________________________

Gender: ________________

Ethnicity: ____________________________

List honors, scholarships, awards that you have received as an undergraduate


_______________________________________________________________________
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Provide a statement indicating why you think that this summer program is
important to your professional development. Attach separate pages if needed.
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Please write about your preferences for, and experiences related to, working in
group or in individual projects. Please provide details. Explain why you prefer the
option that you have selected.
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
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You must provide at least two letters of recommendation. List the names and
contact information of two professors who will provide the reference forms. Please
ask the faculty members to mail or email their reference letter to the address below.

Letters must be from college faculty who know you well and can comment on your
previous mathematical work.
Names of faculty and contact information: (Tel no., email address)
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________

Please email or mail your application together with a copy of your


official transcript to:
POST MAIL
Javier Rojo
RUSIS
Statistics Department, MS-138
Rice University
6100 Main Street
Houston, TX 77005

EMAIL
jrojo@stat.rice.edu
FAX
(713) 348-5476

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