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.