Demographics (or “What, is your name?”)

Name:

Address:

City: State: ZIP:

Phone Number:

email address:

School: Grade Level: Gender:

Math (or “What, is your quest?”)

Current Math Class:

2001 AMC8 score: AMC10 score: AMC12 score: AIME score:

2001 GPML state meet sprint round score: GPML state meet target round score:

Please list any other relevant math accomplishments from this school year that you feel may enhance your application: (Feel free to use another sheet if necessary, but try to keep things like “I got eighth place in 10^th grade Algebra in the small school division at districts” to a minimum.)

How many years have you participated on an ARML team?

Trip details (or “What, is your favorite color?”)

The undersigned parent plans to drive students to Iowa (enter zero if parent is not planning to attend ARML).

Please indicate any food preferences (vegetarian, kosher, allergies, etc.) that you would like ARML to consider in preparing meals:

If you have a roommate preference, please indicate below; if you and your roommate list each other, we will make every effort to pair you up:

Keeping in mind that certainly not all of these team names will be realized at the ARML contest, please rank the team names you would identify with in order of your preference:

Missouri Kansas Eastern Missouri Western Missouri

St. Louis K.C. Kansas/K.C. Other (specify)

Practices (or “Help help I’m being repressed!”)

Which location are you most likely to attend practices in May? (If there are enough participants from other areas, we will try to schedule practices as appropriate. Living more than an hour from any of the practice sites constitutes an acceptable excuse for missing local practices.)

K.C.-Lawrence-Topeka area St. Louis area Columbia

For scheduling purposes, please indicate dates on which you would NOT be able to attend an afternoon or evening local practice at your preferred practice site:

May 5____ 6____ 9____ 16____ 19____ 20____ 23____ 26____ 27____ 28____

I, the undersigned, agree that if accepted onto an ARML team this year, the student listed on this application will participate in the ARML program and will pay the registration balance of $100. I further agree that, unless prior release is granted by Tim Sanders or the student’s local ARML coach, the student will attend the mini-ARML contest on May 12 as well as local practices at least once per week during May.

Student Signature: Date:

Parent Signature: Date:

Please return this form, along with the permission slip and a $50 deposit to:

Great Plains Math League, PO Box 1986, Columbia, MO 65205-1986