MPL Academic Program Application Form

Contact Information

(* - Mark required entries)

*Email:
*Name:
*Department:
*University:
*Address:
*City, State, Zip:
*Country:
Telephone:		Fax:
*Type:		Position:
Operating System:		Modeling System:
Machine Type:		Solver:
Database:

Message:

Academic Verification

In order to estabilish that you belong to an academic institution we will require proof of ID. The selected type of IDs are valid for verification

Form of ID:

Webpage:

Please note any webpage listed has to be a valid and operational page and clearly show the association with the academic institution, otherwise it cannot be considered proof of academic status. If you selected either University Photo ID or Letter from Professor/Teacher, please fax this to: +1-703-522-7902 (USA) or +44-208-4343-529 (UK).

Use of MPL Software

For what purpose will the software be used for? (you can select more than one option)

	A: Teaching
	B: Academic Research
	C: Student Projects

A: Teaching Courses

Teach Courses In:

Operations Research

Mathematics

Business (MBA)

Computer Science

Engineering

Other:

Teaching at which level of study:

	Undergraduate		Teaching Assistant
	Master		Research Assistant
	Doctorate		Other:

Operations Research Course:

Course Name:
Course Number:
Number of Students:

Course Type:

	Introduction to O.R.				Advanced O.R.
	Linear Programming				Mathmatical Theory
	Model Formulation				Practical O.R. in business

Department that provides the course:

	Operations Research.				Mathematics
	Business (MBA)				Computer Science
	Engineering				Other:

Course Textbook:

Which textbook will be mainly used in the course?

	Wayne Winston (O.R. Appl. and Alg.)						Other
	Hiller and Lieberman (Intro. to O.R.)						Name:
	Linus Schrage (Lindo text and software)						Author:
	H.P. Williams (Model Building)						Publisher:
	Katta G. Murty (O.R. Det. Opt. Models)						Edition:

Course Software Used:

What other optimization software will be used in the course, if any?:

Modeling System:
Optimizer:

Approximate size of the largest homework/assignment project? constraints

B: Academic Research

Area of Research

General Mathematics			Supply Chain
Manufacturing			Scheduling
Logistics			Finance
Military			Engineering
HealthCare			Government
Other:

Type of Research:

Mathematical Modeling			Optimization Methods
Heuristics			Other:

Research Collaboration:

Is the research you are undertaking in collaboration with other institutions?

Yes No
If Yes:

Academic Institution		Name:
Commercial Organization		Name:

Is there a possibility of govermental or commercial implementation for the research work being undertaken?

Yes No

Length of Research Project:

Modeling Details (if known):

Type of Model(s):

LPs			MIPs
NLPs			QPs
SPs			Other:

Largest Size of Model: Vars: Cons:

C: Student Project

Which level of study:

Undergraduate Master Doctorate

Project Details:

Project Supervisor:
Project Title:
Expected date of Project Completion:

Is the project in collaboration with a govermental or commercial organization?

Yes No
If Yes:

Orgainzation's Name:

Modeling Details (if known):

Type of Model(s):

LPs			MIPs
NLPs			QPs
SPs			Other:

Largest Size of Model: Vars: Cons: