BMC Upper Apply Fall'17 Continuing Students
ONLY for Continuing Students -- those who were enrolled BMC Upper Spring 2017. Even if you were registered for BMC Upper in the past but NOT in Spring 2017, you are considered a new student and this form is NOT for you, you must use a different form for New Students posted on the homepage of the website: mathcircle.berkeley.edu
Student Information
Student First Name *
Your answer
Student Middle Initial (if any)
Your answer
Student Last Name *
Your answer
Grade in Fall 2017 *
Required
Student's Email
Leave blank if student does not have an email.
Your answer
Parent's Name *
First, Last Name
Your answer
Parent's Email 1 *
This must be a correct and working email that you check regularly. This is our primary method of communication.
Your answer
Parent's Email 2 (Optional)
This must be a correct and working email that you check regularly.
Your answer
Student's Phone (if none, put parent's phone) *
Please use form (xxx)xxx-xxxx
Your answer
Student's Home Address *
Street, City, Zip Code
Your answer
Parent's Phone (xxx)xxx-xxxx *
Your answer
Currently enrolled in BMC Upper in Spring 2017 in *
Applying to BMC Upper in Fall 2017 for *
Please, use the following table to decide which level to enroll is best for you. If you do not have any math circle experience, look in the second column and select the level that corresponds to your grade. If you do have math circle experience, then factor in the third column accordingly. Rare exceptions will be considered only for younger advanced math circlers wishing to move up a level.
For example, a student who is in 8th grade with no math circle experience would enroll in BMC-Intermediate I.
For example, a student who is in 8th grade with no math circle experience would enroll in BMC-Intermediate I.
Current School of Student in Spring 2017 *
Your answer
Current School Address *
Your answer
Current Math Teacher's Name *
Your answer
Teacher's Email *
Your answer
School in Fall 2017 (if different from Spring 2017)
Your answer
School Address in Fall 2017 (if different from Spring 2017)
Your answer
Gender (for statistical purposes only) *
What type of school do you go to? *
What race/ethnicity do you identify with? *
Select as many as it applies
Required
Math Background
Have you taken: *
Check all that apply
Required
Enrolled in previous BMC-Upper *
Check all that apply
Required
Participated in BAMO *
Required
Participated in Math Taught the Right Way Program *
Check all that apply
Required
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