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Student Application Form

last modified 9-25-09

To apply for courses at Friday Harbor Laboratories (FHL), students should FIRST fill out and electronically submit the web form below, and then send other required documents to fhladmin@u.washington.edu) or fax (206-616-0727 or 206-543-1273). The other required documents do not need to be sent together.

Questions may be directed to:

Stacy Markman, Student Coordinator
University of Washington Friday Harbor Laboratories
620 University Road
Friday Harbor, WA 98250 USA
206-616-0753 fhladmin@u.washington.edu

All applications must be supported by the documents listed below. We strongly encourage electronic submission of all documents. The following are our preferred submission formats in order of preference:

  1. Adobe PDF format (.pdf) sent as an attachment to email, to fhladmin@u.washington.edu
  2. Microsoft WORD document (.doc) sent as an attachment to email.
  3. Fax to 206-616-0727. (Alternate fax number is 206-543-1273)
  4. Plain text copy emailed to fhladmin@u.washington.edu
REQUIRED DOCUMENTS:
  1. One set of transcripts for all post-secondary academic activities. Electronic submission of transcripts is encouraged, but unofficial copies will be accepted.
  2. A statement by the applicant indicating the appropriateness of the requested program to his/her own professional development.
  3. One or two letters of recommendation from faculty member(s) who are familiar with the applicant's work.
  4. If you are requesting financial aid, please submit a Financial Aid Request form. Your statement should be specific and list: a) a sense of your income and all sources and estimated amounts of available support, b) your anticipated expenses, and c) financial constraints, and specifically the amount of aid you wish to request.

The Director of the Laboratories will have final authority in accepting students for enrollment in the instructional course or program at UW-Friday Harbor Laboratories.

Full Legal Name:

First   Middle   Last

Former Name (if applicable)  

Nickname (how you preferred to be called, if different than first name)

Current Mailing Address
Street & Number  
City
State
Zip/Postal
Country  

 

Permanent Mailing Address
Street & Number  
City
State
Zip/Postal
Country  

Contact Phone, Area Code and Number 

E-mail Address  

Alternate E-mail Address (if applicable)  

Country of Citizenship  

Country of Residency  

If you are not a U.S. Citizen and have a visa, what kind is it? Leave blank if not applicable.

(If you are accepted to a course at FHL, we will assist you to obtain the necessary documents to enter the U.S.)

Birthdate. Required by University of Washington for registration. Information will remain secure.

Gender (used only to assign housing)  

Are you currently a resident of Washington State? Yes No
If "yes" list date Washington residency began:


UW Student number (if applicable)

What will be your ACADEMIC STATUS when you begin the course or apprenticeship at FHL

Current college or university, if matriculated or if not currently matriculated,
the institution last attended with degree and date: EXAMPLE: Univ. of Washington (BS 6/02)

Field of Study or Degree with Major

Select 2010 Courses and Apprenticeships

Spring Quarter

First Choice        
Alternate Choice 

Summer A
First Choice        
Alternate Choice 

Summer B
First Choice      
Alternate Choice

Autumn Quarter
First Choice  
Alter. Choice

Are you applying for financial aid?   Yes   No
If so, please download the Financial Aid Request form and e-mail it to fhladmin@u.washington.edu.

Do you plan to use SCUBA? Yes   No
Permission to dive under University auspices will be limited to students engaged in course work that requires diving.

Do you plan to rent bedding?  Yes   No
Bedding rental includes: bed sheets, pillowcase and towel, exchanged weekly. Cost is $25 for 5 weeks, $50 for 10-11 weeks. We encourage students to bring their own bedding. A blanket and pillow provided free of charge to each student.

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.

To help us better track our advertising efforts, please tell us briefly how you learned about these 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.

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