Math Research Interest Survey

Student Information

Name*

First Name

Last Name

MC Student ID Number*

MC Student Email Address*

Please enter your @mail.midland.edu address

Preferred Contact Information*

Text Message Phone Call MC Student Email Other Email Account

Phone Number*

Other Email Address*

Math Courses

How long ago was your last high school math class?*

I took my last high school math class during the previous long (Fall or Spring) semester I took my last high school math class within the last academic year My last high school math class was more than one year ago

Research for Honors Credit

Are you interested in receiving honors credit for participating in math research?*

Yes No

Have you spoken with your math instructor about receiving honors credit for this course?*

Yes No

Have you applied and been admitted to the MC Honors Program?*

Yes No

Schedule Enrollment Meeting

Scheduled Meeting Time*

:

Honors Tasks*

Honors Program Enrollment Verified Honors Contract Printed Instructor Verification Student is not eligible for honors credit

Enrollment Meeting

Moving Forward*

Yes No

General Tasks*

Add to Canvas Add to Section Research Application Completed

Honors Tasks *

Honors Contract Signed Honors Contract Filed

End of Semester

Requirements Completed*

Intro Modeling Module M3 Module COMAP Module SRL Module Poster Presentation

Honors Tasks*

Notify Instructor of Completion Email Instructor Poster Email Instructor SRL paper Student Not Receiving Honors Credit

General Tasks

Notify Student Notify Dr. Pat