Friday Harbor Laboratories
First Name (given name)
Middle name or initial
Last name (family name)
Former Name (if not applicable leave blank)
Nickname (the name you would prefer to be called)
Current Mailing Address:
Street & Number
City
State
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Permanent Mailing Address:
Street & Number
City
State
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Contact Phone, Area Code and Number
Email address
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Country of Citizenship
Country of Residence
If you are not a U.S. citizen and have a visa, what kind is it?
Date of Birth
Gender (for housing assignment purposes) Male      Female      Do not identify as Male/Female
Are you currently a resident of Washington State? Yes      No
If "yes" list date Washington residency began
University of Washington Student Number (if you have one):
What will be your ACADEMIC STATUS when you START the FHL course

Current college or university, if matriculated (EXAMPLE: Univ. of Washington) or if not currently matriculated, list the institution last attended including the degree and date. (EXAMPLE: Univ. of Washington (BS 6/14)

Field of Study or Degree with Major

List colleges and universities you have attended with the most recent one listed first. Include dates and degrees, if any.

Also list any courses or research apprenticeships you previously attended at UW-Friday Harbor Laboratories, including term and year, e.g., Summer 2017.

Please do not exceed 600 characters in this box (approximately 75 words).

Select 2018 Courses and Apprenticeships

Please select your course choices below.

FHL offers courses in the following four terms: Spring Quarter (10 weeks), Summer A Term (5 weeks), Summer B Term (5 weeks) and Autumn Quarter (10-11 weeks).

Students may attend a maximum of one course or program per term.

You may choose to apply to and attend just one term, or you may apply to and attend multiple terms at Friday Harbor Labs.
For each term for which you are applying, select one course as your First Choice and, if interested, another course as an alternate choice. Please leave entries blank if not needed.

IF YOU ARE APPLYING for the MARINE BIOLOGY QUARTER (in spring or autumn) in addition to this form, please submit a list of your course preferences via email to Bernadette Holthuis.


If applying for SPRING QUARTER 2018:
First Choice
Alternate Choice (leave blank if not interested in an alternate)

If applying for SUMMER A TERM 2018:
First Choice
Alternate Choice (leave blank if not interested in an alternate)

If applying for SUMMER B TERM 2018:
First Choice
Alternate Choice (leave blank if not interested in an alternate)

If applying for AUTUMN QUARTER 2018:
First Choice
Alternate Choice (leave blank if aren't interested in an alternate)

Are you applying for financial aid from Friday Harbor Laboratories?    Yes      No
If so, please download the Financial Aid Request form and e-mail it to fhlapp@uw.edu
Diving under University auspices or on the premises is limited to scientific work required by a course or for a project which is approved by an instructor/supervisor. All diving must be conducted according to AAUS standards and permission arranged IN ADVANCE with a minimum of 6 weeks' notice. Please contact Pema Kitaeff, with questions or to start the process.
Do you plan to use SCUBA?     Yes      No


HOUSING:
Students will normally be assigned to a double dorm room shared with one other person. You will not know your roommate until you arrive at FHL, but two people may request to room together by sending an email to Housing Coordinator Alisa Schoultz.

Sometimes single rooms or huts are available, at an additional cost of $200 per 10-week term or $100 per 5-week term. If available, would you like a private room or hut for the additional cost noted?    Yes      No
If Yes, you will be notified close to the start of the term if a single room is available for you.

OPTIONAL: Please indicate your race/ethnicity. This information will not affect FHL admission decisions nor financial aid awards from state funds, but it is helpful to FHL when seeking financial aid from non-state sources.
Please let us know how you first learned about FHL course offerings:
By submitting this form, I certify that the above information is complete and accurate. I acknowledge that failure to disclose complete and accurate information may result in denial of admission or dismissal from the University. I acknowledge that physical injury and death are risks inherent in the use of these facilities, and I assume all associated risks and I agree not to claim against the University for those risks. I agree to hold the University of Washington harmless from any and all injuries, damages and liabilities that may occur in the course of my visit, except for negligent acts or omissions of the University or its employees, students or agents acting in the scope of their duties.
The University of Washington reaffirms its policy of equal opportunity in education regardless of race, color, creed, religion, national origin, sex, sexual orientation, age, marital status, disability, or status as a disabled veteran or Vietnam era veteran in accordance with University policy and applicable federal and state statutes and regulations.