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First Name*
Last Name*
Address*
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Home Phone
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Where did you last attend college? (or currently attending)* Central Washington University City University Eastern Washington University Seattle Pacific University Seattle University University of Washington Bothell University of Washington Seattle University of Washington Tacoma Washington State University Western Washington University 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.*
Master of Arts in Policy Studies Master of Arts in Cultural Studies Master of Business Administration Master of Education Master of 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 Community College Student Current Student/Staff/Faculty Drive By/In the Neighborhood Fair/Event Friend/Family Newspaper Ad Other Radio UWB Email UWB Mailings Web site
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