Friday, Math Department Office, MH-154 to:

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Graduate Readiness and Access in
Mathematics (GRAM) Program
California State University, Fullerton
APPLICATION FORM
for June 1, 2016 through May 31, 2018
Please submit this completed application form by: Friday, March 18, 2016 at 5:00 pm
The application form should be returned to: Math Department Office, MH-154
Or returned via email to: sannin@fullerton.edu or averdugo@fullerton.edu
Applications may be downloaded at: http://math.fullerton.edu/students/gram/
APPLICANT INFORMATION
Name:
Last
First
Middle
Date of Birth (MM/DD/YY):
Gender:
Female
Campus Wide ID
Male
U.S. Citizenship or Permanent Resident:
Yes
No
Current Address:
Permanent Address:
Tel. Home:
Mobile:
Same as Current Address
Email address:
Ethnicity:
American Indian/Alaskan/Native American
European-American
Mexican/Mexican American
Puerto Rican
African-American/Black
Filipino/Filipino-American
Mid Eastern-American
Other:
Asian-American
Latin/ Other Spanish American
Pacific Islander
Primary language spoken at home:
Parent’s Education (Highest level completed)
Father
College
Some grade school
Bachelor’s
Some H.S.
Some graduate school
H.S. Diploma/GED
Masters
Some
Doctorate
Mother
College
Some grade school
Bachelor’s
Some H.S.
Some graduate school
H.S. Diploma/GED
Masters
Some
Doctorate
Please check this box if you are the first person or in the first generation in your family to attend a 4-year
university.
WORK INFORMATION
Please check this box if you are currently working. If yes, please circle (or bold): ON or OFF CAMPUS.
If yes, approximately how many hours per week do you work?
MATHEMATICS CONCENTRATION
Please check your current mathematics concentration:
Pure
Applied
Probability/Statistics
Teaching
Actuarial
Not Declared
CAREER OBJECTIVE INFORMATION
Highest Degree Objective:
Bachelors
Masters
Ph.D.
Ed.D.
Undecided
COLLEGE INFORMATION
College/University attended:
Graduation date:
Major:
Units completed:
College/University attended:
Graduation date:
Major:
Units completed:
College/University attended:
Graduation date:
Major:
Units completed:
Current CSUF Academic Level:
Total units completed:
Overall GPA:
Math GPA:
Date you entered CSUF (MM/YY):
Do you expect to graduate in the spring or summer of 2018?
yes
no
If not, please indicate your expected graduation date (month and year): __________________________
RESUME
Please provide your resume as a separate sheet or electronic file, with this application. All items should
be listed under the headings provided below on this page. Many qualified applicants may not have
entries in each category.
EDUCATION:
Community College (if applicable)
University
Major
Major
Year degree earned, Cumulative GPA
Current status, Cumulative GPA
Intended Degree, Expected date of graduation
WORK EXPERIENCE:
This category should include off-campus work as well as any on-campus teaching, tutoring, and research
performed. Indicate location, dates and brief description of activities.
PROFESSIONAL AND NON-PROFESSIONAL AFFILIATIONS:
This category should include student- and science-oriented memberships.
AWARDS AND HONORS:
This category should include academic and extracurricular honors and awards, as well as any research
grant awards.
SERVICE AND VOLUNTEER ACTIVITIES:
These activities should be cumulative and inclusive. Indicate site and dates of involvement.
SPECIAL SKILLS:
This category may include language proficiency, computer knowledge (both hardware and software), as
well as experience with scientific instrumentation and protocols. Rate your ability as: novice – have
used with supervision/ have some familiarity; competent – can be on your own without supervision;
mastery – can troubleshoot protocol and can teach someone else.
PUBLICATIONS/PRESENTATIONS (OPTIONAL):
Most applicants will not have entries in this category (after all, developing this area is one of the
purposes of these research programs).
If you have any publications, published abstracts, or
presentations (both poster and slide), list them in reverse chronological order (latest to earliest). Use this
format: Last name of first author, initials, and co-authors last name, initials. (date) “title,” journal.
volume, pages.
HOBBIES:
This category should include activities that are important use of your non-academic and nonservice/volunteer time.
CAREER ESSAY
In 500 words or less, respond to the following prompt.
Why are you interested in entering the California State University Fullerton GRAM Program and going
to graduate school?
FINANCIAL SUPPORT
Below provide a break-down of the financial support that you currently receive in order to pay for your
education and other living expenses (per year). Please list sources as appropriate such as (1) income
from a job(s) or career, (2) assistance from parents, guardians, or other family relatives, (3) any
scholarships you have been awarded, (4) financial aid, and (5) other. For each category (1)—(5), please
indicate how much support is provided and approximately what percentage of your education and living
expenses each category covers. Feel free to explain any special circumstances.
(1) Income from a job(s) or career: (Approximate percentage of total costs: __________)
(e.g. supplemental instruction leader, $3,000/year)
(2) Parents, guardians, or other family relatives: (Approximate percentage of total costs: _________)
(Please let us know if you live with family members. If you do, tell us how much you contribute (if any)
to family expenses)
(3) Scholarships you have been awarded: (Approximate percentage of total costs: __________)
(4) Financial Aid: (Approximate percentage of total costs: __________)
(5) Other (please specify): (Approximate percentage of total costs: __________)
(6) Approximate total costs of education and living expenses per year: _________.
SPECIAL CONSIDERATIONS
Please indicate whether you:
Are eligible for a federal Pell grant? (If so, please include a copy of your last federal income
tax reporting form).
SPECIAL CONSIDERATIONS ESSAY
In 500 words or less, respond to the following prompt.
Students often encounter impediments to advancing their education, some of which may be the result of
the special considerations indicated on the previous page. What impediments have you faced, and how
would your pursuit of higher education benefit from participation in the California State University,
Fullerton GRAM Program?
PLANNED ACADEMIC SCHEDULE FOR 2016-2017 and 2017-2018
Please complete the following table, indicating the courses you plan to enroll in each semester
(including summers) over your final two academic years. Include course names, (units), and whether the
course is a GE or major requirement (Math 307 Linear Algebra (3) is provided as an example under
Fall 2016).
Summer 2016 Courses (units)
(if any)
GE/major
Summer 2017 Courses (units)
(if any)
GE/major
Fall 2016 Courses (units)
GE/major
Fall 2017 Courses (units)
GE/major
Spring 2018 Courses (units)
GE/major
Math 307 Linear Algebra (3)
Spring 2017 Courses (units)
Major
GE/major
LETTERS OF RECOMMENDATION
List the names of two individuals, of which at least one must be a faculty member, who will be
submitting letters of recommendation on your behalf. Recommenders may submit their
recommendations directly to Cal State Fullerton’s Math Department Office (MH-154).
It is the applicant’s responsibility to make sure that all three letters are submitted by the application
deadline. Submission of fewer than two letters may put an application at a disadvantage.
ALL LETTERS MUST BE RECEIVED NO LATER THAN THE APPLICATION DEADLINE
(which is March 18, 2016).
Name:
E-mail (required):
Title/University:
Telephone:
Name:
E-mail (required):
Title/University:
Telephone:
TRANSCRIPTS
Transcripts (unofficial are acceptable) of coursework completed at the date of application. Include nonCSUF transcripts, if applicable.
Transcripts must be received before the application deadline (March 18, 2016).
GRAM PROGRAM INFORMATION
How did you learn about the CSUF GRAM Program? (Check all that apply)
CSUF department/faculty/staff/student (specify):
Past GRAM Scholar (name):
Current GRAM Scholar (name):
GRAM website
Your previous college department (specify):
Faculty member or advisor at your previous college (name):
Other (specify):
APPLICANT’S SIGNATURE
Signature
Date
For information about the GRAM program, you may contact either of the two GRAM directors:
Dr. Scott Annin
Professor, Mathematics Department
California State University, Fullerton
Fullerton, CA 92831
(657) 278-7678
sannin@fullerton.edu
Dr. Anael Verdugo
Assistant Professor, Mathematics Department
California State University, Fullerton
Fullerton, CA 92831
(657) 278-3670
averdugo@fullerton.edu
RESEARCH INTERESTS
Below are a list of professors who participate in the GRAM Program, their mathematical
concentrations and a brief summary of their research interests. Check all professors that conduct
research in your area of interest. We encourage you to look at the web pages of the faculty whose
research area you find interesting.
Mathematical Physics and geometry, particularly problems at the interface of general relativity and
quantum field theory, mathematical issues in classical and quantum gravity.
Mentor: Dr. Alfonso Agnew, Applied Mathematics: Classical Track
Noncommutative Algebra, with particular interest in ring theory, module theory, group theory, and
semigroup theory.
Mentor: Dr. Scott Annin, Pure Mathematics
Bayesian Statistics, Bayesian functional data analysis, and statistics in neuroscience. Bayesian
nonparametrics, hierarchical Gaussian processes for modeling neuronal spike trains and statistical
modeling of education data.
Mentor: Dr. Sam Behseta, Probability and Statistics
Professional Development and Mathematical History; actively involved in working with K-14 math
teachers.
Mentor: Dr. Martin Bonsangue, Teaching Mathematics
Undergraduate Mathematics Education, particularly in the areas of discrete mathematics and
mathematical proofs.
Mentor: Dr. Todd CadwalladerOsker, Teaching Mathematics
Algebra, Representation Theory of Finite Groups, Fusion Systems, and Mathematics Education.
Mentor: Dr. Adam Glesser, Pure Mathematics
Online Mathematics Education
Mentor: Dr. Cherie Ichinose, Teaching Mathematics
Statistical Computing, Simultaneous Inference, Analysis of Missing Data, Sample Surveys, Data
Modeling
Mentor: Dr. Mortaza (Mori) Jamshidian, Probability and Statistics
Computational and Industrial Applied Mathematics with emphasis in Bioinformatics, Fluid
Dynamics, Aerospace and Telecommunications Engineering
Mentor: Dr. Charles H. Lee, Applied Mathematics: Modeling and Computation Track
Number Theory, Algebraic Geometry
Mentor: Dr. Christopher Lyons, Pure Mathematics
Mathematics Education, Mathematical Problem Solving, Problem Posing, Learning within Dynamic
Geometry Environments and through the use of technology.
Mentor: Dr. Armando Martinez-Cruz, Teaching Mathematics
Geometric analysis and differential geometry, including Einstein manifolds, Ricci flow, Kaehler and
Hermitian geometry.
Mentor: Dr. Tommy Murphy, Pure Mathematics
Spatial statistics with an emphasis on spatial/temporal statistics point processes and their application
to earthquakes and wildfires.
Mentor: Dr. Kevin Nichols, Probability and Statistics
Low-dimensional topology, knot theory, and applications of topology to spatial DNA configurations
and interactions, Graph Theory, the shape of space.
Mentor: Dr. Matthew Rathbun, Pure Mathematics
Applied Mathematics: crime modeling, dynamical systems, complex networks, variational methods,
image processing, social media modeling.
Mentor: Dr. Laura Smith, Applied Mathematics: Modeling and Computation Track
Combinatorics, Linear Algebra, Graph Theory
Mentor: Dr. Ernie Solheid, Pure Mathematics
Differential Geometry, Metric Geometry, education of gifted K-16 students.
Mentor: Dr. Bogdan Suceava, Pure Mathematics
Differential equations, dynamical systems, mathematical biology.
Mentor: Dr. Anael Verdugo, Applied Mathematics: Modeling and Computation Track
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