Summer School Application Form Draft

Please fill out the following web application form. Some points to note:

Make sure to include a PDF copy of your current (unofficial) undergraduate transcript in the appropriate field
Provide the name and contact information for one or two references and ask them each to email a reference letter on your behalf to wimsummer@math.uwaterloo.ca.

Once your submission has been accepted, we will acknowledge your application via email within 1-2 business days.

Personal Information

Given Names:
Family Name:
Email:
Date of Birth:
Citizenship:
Current University:
Program/Major:

Current Address

Number and Street:
City:
Province:
Postal Code:
Phone:

Summer Address

If any of your contact information will be different in Summer 2012 than now, please fill in the differences here and indicate on what date you will be moving. Otherwise, you may leave this section blank.

Valid From:
Number and Street:
City:
Province:
Postal Code:
Phone:

First Referee

Given Names:
Family Name:
Email:
Position:
University/Company:

Second Referee (optional)

Given Names:
Family Name:
Email:
Position:
University/Company:

Transcript & Personal Statement

Please upload a PDF of your current unofficial transcript. You may also write a personal statement of up to 250 words to describe why you wish to attend the Summer School or to provide any supplemental information you think would aid the committee in assessing your application.

Upload Unofficial Transcript (PDF):
Personal Statement (optional):