nserc usra summer 2019 - university of british columbia ... · nserc usra summer 2019 ubc...

NSERC USRA Summer 2019 UBC Department of Mathematics

Applicant Questionnaire

Last First Middle

(MM/DD/YYYY)

1. Are you applying for a 2019 NSERC USRA through another department or university?

If yes, please provide the name of the department or university.

No2. Have you received a NSERC USRA in the past? Yes

If yes,

- How many awards have you received?

- In what year(s) did you receive an NSERC USRA award?

3. Grade average in MATH courses:

- Number of math courses taken:

Please list your top three choices for supervisor/project, in order of preference: i.ii. iii.

(If previously employed at UBC)

Full Name:

Student Number:

Date of Birth:

SIN: :

Faculty:

Year:

Program:

UBC Employee ID

%

Are you interested in participating in the Imperial College London Exchange Program?

See info here on ICL Exchange Program here - https://goo.gl/3AjDiz

Please follow the instructions on our webpage to complete the form and upload to

https://owncloud.math.ubc.ca/index.php/s/ZD4VoqzJzf3RVun

along with your official transcript and Form 202 part 1