Fall 2020 Distance Learning Application Form – Budapest Semesters in Mathematics

Semester applying for*
Name*
First Middle Last
Gender*
Date of Birth*
MM
DD
YYYY
Email address*
Phone*
Include Area Code and enter dashes as appropriate
Mailing address where you would like to receive mailings. Enter the two letter U.S. state.*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Permanent address*
Enter the two letter U.S. state.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Parent name(s)*
First Last
First Last
Is your Parent Address the same as Permanent Address?
If your permanent and parent addresses are the same please select yes.
- Yes
- No
Parent Address. Enter the two letter U.S. state.
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Parent phone*
Include Area Code
Parent email*
Parent email second (leave blank if none)
Emergency Contact*
Name of person notified in case of an emergency
First Last
*
Phone, Include Area Code
City where you were born*
State where you were born
Country where you were born*
Citizenship
Please list your citizenship and all countries to which you hold a passport.
Name of Current College or University*
Address of the college currently attending. Enter the two letter U.S. state.*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Expected Graduation Month and Year*
Major*
Please state your declared or expected major(s).
College-Level Mathematics Courses Taken*
List all (or your 5 most advanced) college-level mathematics courses taken or what WILL BE taken prior to participation (include any such courses taken in high school if acceptable). List the grade you received after the course title using the required numerical conversion A+=4.3, A=4, A-=3.7, B+=3.3, B=3, B-=2.7 etc.
Proof-based Math Courses*
How many proof-based math courses have you taken or are currently enrolled in?
- 1
- 2
- 3
- 4
- 5
- 6
Select BSM Course/s First Preference*
Due to limited space in each course, we are asking students to select 3 courses by order of priority for enrollment. Select your FIRST choice from the list below. (select only one) Maximum enrollment of 2 courses per student and the optional Hungarian Plus Culture. Course descriptions found here: http://www.bsmath.hu/CURRENT/Courses.html
Select BSM Course/s Second Preference*
Select your SECOND choice from the list below. (select only one)
Select BSM Course/s Third Preference*
Select your THIRD choice from the list below. (select only one)
Hungarian Plus Culture Class*
The main purpose of the course is to give useful and fun information, while introducing you to the very unique Hungarian culture - a mixture of language, real life, culture, politics and insights. We meet once a week. Click on yes or no to enroll. (no fee)
- YES
- NO
Accepted students will each receive a BSM logo t-shirt. Please select your size below.*
Choose your size below.
Scholastic and Academic Honors*
Please list all scholastic or academic honors you have received in college including scholarships, fellowships, prizes, honor societies, etc.
Foreign Experience*
Please list any foreign experience, i.e. travel, living, other study abroad program, etc.
1st Recommender's Information*
The BSM application requires ONE recommendations letter from mathematics faculty and an unofficial transcript sent to BSM. List the faculty name, title, college, and email address. Once you submit your application, an email requesting a letter for your application will automatically be sent to the mathematics recommender.
First Last
*
Title
*
College
*
Email Address
Home School Study Abroad Office Approval*
We are requesting you obtain approval from your home institution prior to participating in the BSM non-credit online program. Please provide contact information for Study Abroad Staff at your school. An email will be sent to this person requesting approval upon completion of this application.
First Last
*
Email address
*
Phone number
Question: Describe an academic challenge and how you responded.*
Describe a situation in which you faced an academic challenge, how you responded and what you learned from this experience. Please keep your response to 1 to 2 paragraphs.
Age Verification*
I confirm that I will be at least 18 years of age when the program begins.
- Yes
- No
Additional Information
List any additional information which you desire to provide or which you believe may be helpful in processing your application below.
General Data Protection Regulation*
If accepted to the program you consent to classes being recorded on Zoom. The recordings are for educational purposes of the particular research group you will be participating in and they should not be distributed outside of BSM. All recordings will be erased by the end of the semester, unless requested otherwise by the research group.
- YES
How did you hear about the BSM Fall 2020 Online program?*
Choose one.
- BSM Webpage
- Email from BSM Office
- Math Faculty or Math Department Notification
- Home School Study Abroad Office
- Internet/Google Search
- Facebook