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First Name*
Last Name*
Address*
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State*
Zip*
Home Phone
Cell Phone
Email*
Where did you last attend college? (or currently attending)* Bellevue Community College Bellingham Technical College Edmonds Community College Everett Community College Green River Community College Highline Community College Lake Washington Technical College North Seattle Community College Peninsula College Renton Technical College Seattle Central Community College Shoreline Community College Skagit Valley College South Seattle Community College Whatcom Community College Other...
If you chose "Other..." Please write in the name of your college instead.
Your info packet will be specific to the interest you choose.*
Applied Computing Business Administration Computing & Software Systems Interdisciplinary Arts & Science Nursing
Which quarter would you expect to enroll at UW Bothell?* Summer 2007 Autumn 2007 Winter 2008 Spring 2008 Summer 2008 Autumn 2008 Autumn 2009
How did you hear about UW Bothell?* College Counselor A Current Student/Staff/Faculty Community College Student Drive By/In the Neighborhood Friend/Family Fair/Event High School Counselor Newspaper Ad Other Radio UWB Email UWB Mailings Web site
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I'd like to be contacted to set up an advising appointment. I'd like to get advising help through email.
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