NW CADIZ PROGRAM

APPLICATION FOR STUDY AT CADIZ, SPAIN

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APPLICATION DEADLINES:  For Fall Semester or full year March 20.  For Spring Sem. Oct. 20. The entire application file (including recommendations) must be COMPLETE AND RECEIVED (not merely posted) by deadline day. Note that UW mail delivery over quarter breaks is limited and may take days.  See list of required application materials.
INSTRUCTIONS:

  1. Complete this form (please type or print carefully, especially your email address).
  2. Attach a copy of your complete college transcript (UW students: unofficial transcript is acceptable.) and personal statement (see below).
  3. Attach a check for $100, payable to University of Washington. This application fee is NOT refunded if the student withdraws after having been accepted into the program.
  4. UW students should turn in their application materials to Padelford C-104. Students from schools other than UW, WWU, should send the materials to: NW CADIZ Program -- UW, Box 354360 --Seattle, WA 98195-4360.
  5. Request letters of recommendation from two professors who know you well (one must be from a college level Spanish instructor). Have these letters sent to above address or to your campus coordinator.

 

NAME ____________________________________________________ SEX _____________

DATE OF BIRTH ___________________________  CITIZEN OF ____________________

YOUR UNIVERSITY/COLLEGE ________________________________YEAR (jr,so...) ____________

STUDENT # ________________ MAJOR(S) _________________________________________________

SEMS/QTRS OF SPANISH STUDIED  ______  1st LEVEL IN CADIZ (circle 1) 301, 302, 303, 406

STATE OF HEALTH ______________ SPECIAL NEEDS?_____________________________________

SEMESTER(S) YOU WISH TO STUDY IN CADIZ (fall/spr/yr-include yr) _______________________

TWO RECOMMENDATIONS FROM: _________________________   __________________________

PRESENT ADDRESS ___________________________________________________­_________________

E-MAIL____________________________________________________ PHONE_____________________

PERMANENT ADDR ____________________________________________ PHONE ________________

EMERGENCY CONTACT:__________________________________ RELATIONSHIP _____________

ADDRESS ______________________________________________________ PHONE_________________

SIGNATURE ___________________________________________________ DATE __________________

 

ON A SEPARATE SHEET, TELL US SOMETHING ABOUT YOUR ACADEMIC AND PERSONAL INTERESTS & YOUR REASONS FOR WANTING TO STUDY WITH THIS PROGRAM IN CADIZ (Spanish preferred; English accepted).


Review of Disciplinary Records

Policy:  The University of Washington reviews students’ disciplinary records when evaluating applications for a study abroad educational activity. Students not accepted to a study abroad activity based on disciplinary records have the right to appeal.

For more information about this process, please contact the UW Community Standards and Student Conduct Office at (206) 685-6194.

 

I have read and understand the policy on the review of disciplinary records.

 

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Student’s Signature                                                                                Date