PROPEL NW Scholar Application Form

PROPEL NW Scholar Application Form

Thank you for your interest in PROPEL Northwest. Applications are accepted on a rolling basis and admission into the program will be made based on availability within the program and a holistic review of your application. Curriculum for the program will begin in September. Please contact Alison Stanbery @ itipb@uw.edu with any questions about this application.

Name(Required)
Mentor's Name(Required)
MM slash DD slash YYYY
Select the option that best describes your situation:(Required)
MM slash DD slash YYYY
Describe your eligibility for PROPEL (select all that apply):(Required)
Max. file size: 50 MB.

The following questions are optional. Answers to these questions will not affect your application.

Do you identify as transgender?
Do you identify with any of the following racial or ethnic groups? Select all that apply.
Are you from an economically or educationally disadvantaged background?
Are you living with a disability?
Do you belong to the first generation in your family to be born and/or raised in the United States?
Do you belong to the first generation in your family to attend college?