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...)_______

MAJOR(S) ________________________ SEMS/QTRS OF SPANISH STUDIED ________

STATE OF HEALTH ______________ SPECIAL NEEDS? _________________________

SEMESTER(S) YOU WISH TO STUDY IN CADIZ _______________________________

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).