Summary: University of Washington, College of Engineering
Minority Scholars Engineering Program
2010 A L V A AP P L I C A T I O N
MARCH 1 DEADLINE
Application, page 1 of 3
APPLICANT INFORMATION
NAME (Last, First, Middle Initial) DATE OF BIRTH GENDER
ADDRESS (Street) TELEPHONE ALT. TELEPHONE
ADDRESS (City, State, Zip Code) EMAIL
PARENT/GUARDIAN INFORMATION
NAME (Last, First, Middle Initial) RELATIONSHIP TO APPLICANT
ADDRESS (Street) TELEPHONE ALT. TELEPHONE
ADDRESS (City, State, Zip Code) E-MAIL
APPLICANT SCHOLASTIC INFORMATION
CURRENT SCHOOL CITY, STATE GRADUATION DATE
INTENDED FIELD OF STUDY IN COLLEGE INTENDED TERMINAL DEGREE
BA MS PhD Other
HIGHEST LEVEL MATH COMPLETED OR WILL COMPLETE BY THE GRADUATION DATE LISTED ABOVE:
ALGEBRA II TRIGONOMETRY PRE-CALCULUS CALCULUS OTHER: _________________________
SCIENCE COURSES (LEVEL) COMPLETED OR WILL COMPLETE BY THE GRADUATION DATE LISTED ABOVE:

Source: Anderson, Richard - Department of Computer Science and Engineering, University of Washington at Seattle

Collections: Computer Technologies and Information Sciences