Multicultural Outreach & Recruitment





Seattle (2nd Session) - August 16th and 17th

Your First Name:*

Your Last Name:*

Date of Birth:*

Cumulative GPA:*

Your Email:*

Phone Number:*

Street Address:*

City:*

State:*

Zip:*

High School:*

Race/Ethnicity:*

If you selected "Asian American," please specify:

If you selected "other," please specify:

Major Option 1:*

Major Option 2:


Parent Permission Form

Download the Parent Permission 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 reach@uw.edu. Please note: your application will be considered INCOMPLETE without a submitted Parent Permission Form

Upload your Parent Permission Form here:

Contact

Multicultural Outreach & Recruitment

email: reach@uw.edu
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); dso@u.washington.edu (e-mail)


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