Multicultural Outreach & Recruitment

2017 Purple & Gold - Seattle - Wednesday, April 19th

Your First Name:*

Your Last Name:*

Your Email:*

Phone Number (Cell):*

Phone Number (Home):*

Do you plan on confirming your admission to the UW Seattle Campus?*

Do you need transportation to the UW Seattle Campus? If yes, you may bring ONE guest. Pick up locations are in Tri-Cities, Sunnyside, Yakima, Moses Lake, Quincy, & Wenatchee.*

Date of Birth:*


If you selected "Asian American," please specify:

If you selected "other," please specify:

High School:*

Parent Permission Form

Download the Parent Permission Form here

Transportation Form

Download the Transportation Form here
In order for your application to be complete, a Parent Permission Form must be turned in. We recommend you download, sign, and re-upload the form now. Once downloaded, the form can be signed using software such as Adobe Reader. After signing, save the file and upload it here. If you cannot do this now, you may email the file to Please note: your application will be considered INCOMPLETE without a submitted Parent Permission Form

Upload your Parent Permission Form here:


Multicultural Outreach & Recruitment

ph: (206) 221-2831
fax: (206) 685-5361

1410 NE Campus Parkway
Suite 375, Box 355845, Seattle, WA 98195-5845

To request disability accommodations, contact the Disability Services Office at least ten days in advance of the event:

(206) 543-6450 (voice); (206) 543-6452 (TTY); (206) 685-7264 (fax); (e-mail)


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