American Mathematical Society Cover Sheet Form – Fill Out and Use This PDF

This form is provided courtesy of the American M a t h e m a t i c a l Society .

This cover sheet is provided as an aid to departments in processing job

applications. It should be included with your a p p l i c a t i o n m a t e r i a l .

Please print or type.

Do not send this form to the AMS.

							EM	A
						H
					T				TI
			A						C
			M							L
										A
	A	N			ΤΡΗΤΟΣ ΜΗ				Ε		S
C									Ι Σ		O
I									Ι
									Τ Ω		C
R			ΜΕ
											I
E			ΕΩ								E
			Α
M											T
A											Y
			F							8
			O						8
				U		N D ED			1	8

Academic Employment in Mathematics

AMS STANDARD COVER SHEET

Last Name	________________________________________________________________________________
First Name	________________________________________________________________________________
Middle Names	________________________________________________________________________________

Address through next June	Home Phone
____________________________________________________	__________________________________________
____________________________________________________	Email Address
_____________________________________________________	__________________________________________
Current Institutional Affiliation	Work Phone
_____________________________________________________	__________________________________________
Highest Degree and Source

___________________________________________________________________

Year of Ph.D. (optional) ______________________________________________________________________

Ph.D. Advisor __________________________________________________________________________________

If the Ph.D. is not presently held, date on which you expect to receive ______________

Indicate the mathematical subject areas in which you have done research using the Mathematics Subject Classification printed on the back of this form, or on the AMS website. Use the two-digit classification, which bests fits your interests in the Primary Interest line and add additional 2-digit numbers in the Secondary Interests line.

Primary Interest			______________________________________________________________________
Secondary Interests optional									_	_________________________________________________

Give a brief synopsis of your current research interests (e.g.: finite group actions on four-manifolds). Avoid special mathematical symbols and please do not write outside of the boxed area.

___________________________________________________________________________________________________

___________________________________________________________________________________________________

Most recent, if any, position held post Ph.D.

University or Company ________________________________________________________________________

Position Title ______________________________________ Dates _____________________________________

Indicate the position for which you are applying and position posting code, if

applicable ______________________________________________________________________________________

If applying for a position which requires U.S. citizenship or U.S. permanent

residency, indicate your eligibility

Yes

No

If unsuccessful for this position, would you like to be considered for a temporary

position?
Yes	No	If yes, please check the appropriate boxes.
		Postdoctoral Position	2+ Year Position	1 Year Position

List the names, affiliations and e-mail addresses of up to four individuals who will provide letters of recommendation if asked. Mark the box provided for each individual whom you have already asked to send a letter.