Académique Documents
Professionnel Documents
Culture Documents
Where you see the “Read Me” icon, find the instructions for that question on pages 7-9.
You are accountable for providing complete and accurate information. Omissions or inaccurate
information may result in the denial of admission.
Classification (C)
C-1. Type: First-time Freshman
C-2. Have you ever been or do you expect to be a Running Start participant (Washington State only)? Yes No
C-3. Have you ever been or do you expect to a participant in College in the High School or other college enrollment program? Yes No
Quarter (Q)
Q-1. Quarter. For which quarter and year are you applying? Check one box only
Major (MJ)
MJ-1. Major. What is your intended major or area of interest? (Choose a pre-major option if undecided.)
Major code
MJ-2. Alternate Major. If you have a second area of interest, please indicate it here.
Major code
PA-2c. Date of First Attendance mm/yyyy PA-2d. UW Student Number (7 digits) ______________________________
PI-4. Legal Name: To avoid confusion, use your full legal name whenever you contact Admissions.
PI-5. Other Name(s): If your name has changed, indicate your former full name(s).
Address (AD)
AD-1. Mailing Address
City State (Province/Territory + Country if not U.S.) Zip+4 (or Postal Code if not U.S.)
AD-2. Permanent Address Same as Mailing Address in AD-1 Different: complete the address information below
City State (Province/Territory + Country if not U.S.) Zip+4 (or Postal Code if not U.S.)
AD-4. Email @
This must be a valid address that you check regularly. If it changes, notify Admissions promptly. See instructions for further details.
CR-2. Are you a U.S. citizen? Yes: skip the next three questions. No: go on to the next question.
CR-3. What is your country of citizenship? Specify country
Other Visa Types (A,E,G,I,K,V) Visa Type and Number e.g., A-2, E-2, E-3, V-3 Date visa became (or will become) effective mm yyyy
CR-6. Are you a resident of Washington State? No Yes: If yes, you must include dates of your most recent continuous residence in Washington State.
SP-2. Veterans Benefits. Would you like information about veterans benefits at the UW? Yes No
SP-3. Have you been in foster care in Washington state for at least one year since your sixteenth birthday? Yes No
F-1b. Name
Last (Family) Name First (Given) Name Middle Jr., etc.
F-1c. Primary parent/guardian for contact with the UW F-2. Relationship to you? Mother 1 Father 2 Guardian 3 Other: 4 specify
F-3. Is s/he living? Yes No: skip to F-8. F-4. Telephone F-5. Email
F-6. Address Same as Mailing Address provided in AD-1 Same as Permanent Address provided in AD-2 Different:
City State (Province/Territory + Country if not U.S.) Zip+4 (or Postal Code if not U.S.)
F-7. Washington State resident? No Yes: From mm ________ yyyy _________ to Present or to mm ________ yyyy _________
You must include the dates of parent/guardian’s most recent continuous residence in Washington State.
F-8. What is parent/guardian’s highest level of formal education completed? (check one)
Did Not Graduate High School 1 HS Graduate 2 Some College but No Degree 3 2-Year Coll. Degree 4 4-Year Coll. Degree 5 Postgraduate Study 6
F-10. Did s/he attend the University of Washington? Yes No F-11. Occupation
F-12. Do you authorize the release of information in your admission file to the parent/guardian named in F-1b? Yes No
F-13b. Name
Last (Family) Name First (Given) Name Middle Jr., etc.
F-13c. Primary parent/guardian for contact with the UW F-14. Relationship to you? Mother 1 Father 2 Guardian 3 Other: 4 specify
F-15. Is s/he living? Yes No: skip to F-20 F-16. Telephone F-17. Email
F-18. Address Same as Mailing Address provided in AD-1 Same as Permanent Address provided in AD-2 Different:
City State (Province/Territory + Country if not U.S.) Zip+4 (or Postal Code if not U.S.)
F-19. Washington State resident? No Yes: From mm ________ yyyy _________ to Present or to mm ________ yyyy _________
You must include the dates of parent/guardian’s most recent continuous residence in Washington State.
F-20. What is parent/guardian’s highest level of formal education completed? (check one)
Did Not Graduate High School 1 HS Graduate 2 Some College but No Degree 3 2-Year Coll. Degree 4 4-Year Coll. Degree 5 Postgraduate Study 6
F-22. Did s/he attend the University of Washington? Yes No F-23. Occupation
F-24. Do you authorize the release of information in your admission file to the parent/guardian named in F-13b? Yes No
F-25a. Dependent Students Only Parents’/Guardians' Gross Annual Income. Family Size. Include parents/guardians, yourself,
(Estimate for current year if necessary.) and other dependents.
F-25b. Independent Students Only Student’s Gross Annual Income. (Estimate for current year Student Family Size. Include yourself, spouse, and other dependents.
if necessary. If married, include your spouse’s income.)
List all schools you attended outside the U.S. beginning with Grade 1.
NAME OF SCHOOL LOCATION GRADE LEVEL(S) CALENDAR YEAR LANGUAGE OF
example: E.G. 2005-06 INSTRUCTION
SC-4 Homeschool
Have you ever participated in a homeschool program? No Yes: select all that apply: Grade(s) 9 10 11 12
CC-F1. College Courses Completed List all college courses completed to this point.
PREFIX & GRADE IN
COLLEGE TERM TYPE TERM/YEAR SHORT TITLE (20 Character limit) CREDITS
NUMBER COURSE
ex: Bellevue College QTR SEM Aut 2010 Art 101 Art Intro 5 B
QTR SEM
QTR SEM
QTR SEM
QTR SEM
QTR SEM
QTR SEM
QTR SEM
QTR SEM
QTR SEM
QTR SEM
QTR SEM
QTR SEM
CC-F2. College Courses In Progress It is very important that you list all college courses you are taking or planning to take before enrolling at the UW.
If your schedule is not final yet, please do not hesitate to complete this section. Just give us your best estimate about the courses you anticipate taking, with
specific titles. You can update your schedule later by email or postal mail.
PREFIX & GRADE IN
COLLEGE TERM TYPE TERM/YEAR SHORT TITLE (20 Character limit) CREDITS
NUMBER COURSE
QTR SEM
QTR SEM
QTR SEM
QTR SEM
QTR SEM
QTR SEM
QTR SEM
QTR SEM
QTR SEM
QTR SEM
QTR SEM
QTR SEM
DG-1. Have you already earned — or do you expect to earn — an associate or bachelor’s degree before entering the University of Washington?
No Yes: specify degree and date expected.
COLLEGE NAME OF DEGREE DATE OF DEGREE EARNED OR EXPECTED
UW Seattle Freshman Application A5
College Academic Distribution Requirements (CADR) (CDR) — INSTRUCTIONS
CDR- Coursework must be completed by ALL applicants. Before proceeding, carefully read the full application instructions and
1,2. review the sample College Academic Distribution Requirements table (page A7) to make sure that you complete each
section correctly. In addition, carefully follow the instructions embedded within this section. You are accountable for
providing complete and accurate information. Omissions or inaccurate information may result in the denial of admission.
You must use the CADR tables to record all the courses you have taken, are Grade in Course
currently taking, or will be taking during your high school years of study. List only actual grades you have earned in courses that you have
Include all the courses you believe satisfy the CADR identified under each completed. Do NOT list mid-term grades you expect to earn in courses
subject heading. To review the requirements, go to that you are still taking or for which you have not yet received a grade
admit.uw.edu/Requirements/Freshman/CADR. report or transcript.
Before completing the application, collect personal copies of all your Grade 12.
transcripts from high school and (if college credit was already earned) A complete listing of courses—completed, anticipated, and currently
college. Use these copies as a guide to report your coursework accurately and in progress—in grade 12 is required. Use the same terms and course
completely, using the actual course prefixes, titles, credits, etc. that appear notations you used for grades 9-11. You must list courses for your ENTIRE
on your transcripts. final year of high school, not just the first term, and you must include
credits for each course. If your schedule is not final yet, include to the
For help in understanding these instructions, use the Sample on page A7. It best of your ability the courses you anticipate taking, with specific
illustrates most of the information you will enter in the table. titles; you can update your schedule later by email or postal mail. Your
Grades 7 & 8 application will not be processed if this section is incomplete.
This section of the table is provided to help us understand more clearly the College courses
levels of math and foreign language you have attained. Use this section only Include here and in CC-1 on page A-5 any college courses in which you
if you completed high school-level math or foreign language in grades 7 and are enrolled or plan to enroll.
8. In the other subjects, coursework in grades
7 and 8 is not considered. CDR-3. Unweighted Grade-Point Average (GPA)
Grades 9 through 11 List your cumulative GPA for all courses completed during grades 9–11.
Starting with the left column, mark the type of term (e.g., semester, etc.) If you attended more than one school, this should be a combined GPA.
used at the school attended during each year of study, as well as the This figure should be taken from the unweighted GPA recorded on your
dates of attendance (e.g., Begin: 2006, End: 2007) for each grade (9–11) high school transcript. In an unweighted system, the quality points for
completed. letter grades are assigned as A = 4, B = 3, C = 2, D = 1, F = 0.
Proceeding to the right, indicate the course title, including the course If your school uses a different scale (e.g., 100-point), consult with your
prefix and course number (if there is one), as well as any applicable course counselor about how to convert it to a comparable GPA on a 4-point scale.
notations (e.g., AP, IB, RST), the credit earned (e.g., .5) for each term of
coursework completed, and the grade (e.g., A, B, etc.) earned for each term
of coursework completed within each subject area. Be sure to also include
any Running Start courses already completed by the end of grade 11.
NOTE: If you are completing high school early (e.g., three years instead of
four), complete grades 9 and 10 as the first two years of study, and write “no
grade 11” in the first column of the grade 11 section. Use grade 12 to record
your final year of courses completed, anticipated, or currently in progress.
Juana B. Admitted
Name of Applicant
GRADE IN COURSE
GRADE IN COURSE
GRADE IN COURSE
GRADE IN COURSE
COURSE NOTATION
COURSE NOTATION
COURSE NOTATION
COURSE NOTATION
ENGLISH MATH LAB SCIENCE SOCIAL SCIENCE
HS CREDITS
HS CREDITS
HS CREDITS
HS CREDITS
COUR SE T ITLE COUR SE T ITLE COUR SE T ITLE COUR SE T ITLE
GRADE IN SCHOOL
7+8 DO NOT WRITE IN THIS SECTION DO NOT WRITE IN THIS SECTION DO NOT WRITE IN THIS SECTION
9 English 9 .34 A Geometry I .34 B Int Phy Sci .34 B Amer. Gov’t .34 A
06 07 English 9 .33 B Geometry I .33 B Int Phy Sci .33 B Amer. Gov’t .33 A
YR BEGIN YR END
YR BEGIN YR END
● Block
● Other
ADD'L TERMS
● Summer
CDR-3. Unweighted
CS-2. Unweighted Grade-Point
Grade-Point Average
Average (GPA)(GPA) In the boxes
In theatboxes at right
right enter yourenter your
GPA for GPA 9for
grades grades11.9 through 11.
through
f This figure should be a cumulative, unweighted GPA as recorded on your high school transcript.
f This figure=should bewith
a cumulative, unweighted
more thanGPA as recorded on your high school transcript.
3 6 0
Unweighted 4.0 scale, no grade given 4 points.
Unweighted
f Carry the figure=out
4.0two
scale, with
places, no3.67.
e.g., gradeDogiven moreup
not round than 4 points.
or down.
ff California
California applicants:
applicants: Use Use the unweighted
the unweighted cumulative
cumulative GPA, notGPA, notorthe
the UC CSUUC or CSU GPA.
GPA.
f If your school uses a different scale (e.g., 100-point), talk to your counselor before you fill in these blanks.
UW Seattle Freshman Application A8
Name of Applicant
GRADE IN COURSE
GRADE IN COURSE
GRADE IN COURSE
GRADE IN COURSE
COURSE NOTATION
COURSE NOTATION
COURSE NOTATION
COURSE NOTATION
ENGLISH MATH LAB SCIENCE SOCIAL SCIENCE
HS CREDITS
HS CREDITS
HS CREDITS
HS CREDITS
COURSE T ITLE COUR SE T ITLE COUR SE T ITLE COUR SE T ITLE
GRADE IN SCHOOL
7 + 8 DO NOT WRITE IN THIS SECTION DO NOT WRITE IN THIS SECTION DO NOT WRITE IN THIS SECTION
9
YR BEGIN YR END
10
YR BEGIN YR END
11
YR BEGIN YR END
12
1ST TERM
YR BEGIN YR END
Block
Other
ADD'L TERMS
Summer
Name of Applicant
GRADE IN COURSE
GRADE IN COURSE
GRADE IN COURSE
COURSE NOTATION
COURSE NOTATION
COURSE NOTATION
FOREIGN FINE, VISUAL, OR OTHER SUBJECTS
HS CREDITS
HS CREDITS
HS CREDITS
LANGUAGE PERFORMING ARTS
COUR SE T ITLE
GRADE IN SCHOOL COURSE T ITLE COUR SE T ITLE
9
YR BEGIN YR END
10
YR BEGIN YR END
11
YR BEGIN YR END
12
1ST TERM
YR BEGIN YR END
Block
Other
ADD'L TERMS
Summer
CDR-3. Unweighted Grade-Point Average (GPA) In the boxes at right enter your GPA for grades 9 through 11.
f This figure should be a cumulative, unweighted GPA as recorded on your high school transcript.
Unweighted = 4.0 scale, with no grade given more than 4 points.
f California applicants: Use the unweighted cumulative GPA, not the UC or CSU GPA.
AT-1. Check the box(es) of the tests you've taken or plan to take, then answer the follow-up questions for each test.
Will your test report include your SSN? Yes No Will your test report include your SSN? Yes No
Scores sent to UW? Yes Write here your name exactly as it will appear on this test:
Will your test report include your SSN? Yes No Will your test report include your SSN? Yes No
Scores sent to UW? Yes Write here your name exactly as it will appear on this test:
Composite Score
Last (Family Name)
Write here your name exactly as it appears on this test:
First (Given Name) Middle (if any)
Checklist (CL)
CL-1. Checklist
I understand that a complete application, which includes the following materials, must be submitted by the application deadline:
Application
Writing Section
$60 Nonrefundable application fee
Official test scores from ACT with Writing or SAT Reasoning Test, sent electronically from the testing agency.
Transcripts: DO NOT SEND unless you receive a request from the Office of Admissions.
The application asks you to tell us about your academic coursework.
Letters of Recommendation: DO NOT SEND.
Signature (SS)
SS-1. In signing this form, I certify that the statements I have made in this application are complete and true to the best of my knowledge.
I acknowledge that it is my responsibility to be aware of all pertinent admission and application requirements and that I have read and
understand the application instructions. I acknowledge that failure to disclose complete and accurate information, or failure to submit all
required application information — including those outlined in the Checklist CL-1 — may result in the denial of admission or subsequent
dismissal from the University of Washington.
I understand that my complete application must be signed and submitted by the application deadline to be considered for admission.
The University is required by the U.S. Department of Education to ask you about your ethnic identity.
The information you provide also allows the University of Washington to do the following:
1) We can report aggregate demographic data to state and federal agencies as required by law.
2) We can monitor the effectiveness of our recruitment and outreach efforts.
3) The information may assist in the awarding of privately funded diversity scholarships.
This information will be separated from your application file and will not be used in the admission review process.
ST-1. Are you of Hispanic or Latino origin? (Check all that apply.)
No 999
Yes, In addition, select from the following:
Mexican or Mexican American or Chicano 722 Peruvian 726 Other Hispanic or Latino: 739
(Specify, e.g., Ecuadoran, etc.)
Argentinian 700 Puerto Rican 727
Chilean 706 Salvadoran 712
Colombian 707 Spanish/Spaniard 730
Cuban 709 Hispanic 717
ST-2. Additionally, what race(s) do you consider yourself? Regardless of your answer to the previous question,
please mark the following box(es) to indicate what you consider yourself to be.
African American or Black 870
Alaska Native or American Indian 599
If possible, please specify tribal or corporate affiliation (e.g., Shoshone)