Central Washington University | Interest Form

Interest Form

Tell us a little bit about yourself and we'll contact you as soon as possible.

First Name

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Last Name

Date of Birth

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ex: mm/dd/yyyy

Sex

Female

Male

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Are you a running start student?

Yes

No

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Street Address

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City

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State

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Zip Code

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Email

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Phone

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Alternate Phone

Year

Freshman

Sophomore

Junior

Senior

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Academic Major Interest

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GPA

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Additional Information

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