2008 LSAMP Calculus Boot Camp Application

Full Name*:

Telephone(s)*: ( ) - Optional: ( ) -

Local Address*:


Home Address*:


E-mail*:

Ethnicity*:

Date of Birth*: / /

Gender*:

Current School*:

College you will attend, Fall 2008*:

Major*:

Minor:

Who told you about LSAMP? (Optional):

Have you taken Trigonometry?*:

At what school?*:

Month/Year Completed*:

Grade, or best estimate*:

What is your current or most recent math course?

Course*:

School*:

Month/Year Completed*:

ELM Score:

If you are not a local resident,
are you interested in on-campus housing?

Please provide a brief description of your reasons for wanting to participate in LSAMP.
Please include why you think mathematics is important to your major or career objective.*:

Before you submit, go back and make sure ALL required (*) fields are filled in.

For security, please type Lori's last name in the box:

 
Kendall Hall

Portal Login

 

This page and its contents copyright © 2004 California State University, Chico. All Rights Reserved