Application form for UW certificate program:
Project Management (Online) 2008-2009

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Return to program description

To apply, please print, complete and mail this form with your required materials to the address below.

The 2008-2009 program begins in autumn. Applications for this program are now being accepted. The deadlines for receipt of applications at UW Extension are 5 p.m. on the following dates:

• Autumn 2008: August 7, 2008
• Winter 2009: December 2, 2008
• Spring 2009: February 19, 2009

I wish to apply to the UW Certificate Program in Project Management. I enclose this completed form with a $50 nonrefundable certificate program fee and three stapled application sets, which include my résumé, transcripts and letter of application.

Please mark the program you would like to apply for:

Autumn 2008 (Program ID# 2766)
Winter 2009 (Program ID# 2767)
Spring 2009 (Program ID# 2768)

Note: It is the applicant's responsibility to make sure that all required materials are submitted with the application. All applicants will be evaluated on the basis of materials submitted.

Mr.    Ms.
Last name:
First name/middle initial:
Social Security # (required):
Date of birth:
Mailing address:
City/State/Zip:
Daytime phone:
E-mail address:

Method of payment:

	Check in U.S. funds made payable to the University of Washington. (Returned checks are subject to a $25 service fee.)
	Third-party payer: separate document (purchase order or letter of authorization to bill) must accompany this application.
	VISA
	MasterCard

Card number:
Expiration date:
Name as it appears on card:
Credit card billing address:
City/State/ZIP:
Signature: