Clover Park High School College Fair

Student First Name

Preferred First Name (if different)

Student Middle Name

Student Last Name

Email Address

Birthdate

Mobile Phone Number

May we text you about events and future admission related information?

Yes

No

Mailing Address

Country

Street

City

Region

Postal Code

Academic Profile

I will enter UW Tacoma as a

Anticipated Entry Term

First Choice Major

Second Choice Major

Most Recent School Attended

CEEB Code (Hidden Field)

Are you part of the Running Start program?

Yes

No