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Information Request Form, International

Yes, I would like to keep informed with periodic emails about UW Evening Degree Program.

First Name *
Middle Initial
Last Name *
E-mail *
Phone (with country code)
Street Address (including
apartment number) *
City *
State/Province *
Postal Code *
Country *
U.S. citizens and resident non-citizens please click here

What college have you attended most recently?
If your school is not in the list above please enter the school name in the text box below and the 4 digit College Board code if known (The College Board website has a list of most schools and their codes).
Name of College: 4 Digit Code:
What is your grade level/class?
Degree Earned:

When do you plan to enroll? *

Which major are you interested in? *

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