Clone of 2025-26 Student Stipend Application

2026-27 Student Tuition Support Application
Section 1: Applicant Information
Name

First NameLast Name
Personal Pronouns
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Race and Ethnicity (check all that apply)

Other
Gender Identity

Other
Student ID Number
University of Washington Employee ID Number (if applicable, to expedite payment)
Phone Number

Area CodePhone Number
University Email Address
Personal Email Address
example@example.com
University Attending
Academic Level
Enrollment Status
Degree

Other
Name of Academic Degree Program
Example: Master of Public Health
Program Speciality
Faculty Adviser

First NameLast Name
Faculty Adviser Email
example@example.com
Path to Public Health

In no more than 500 words, share your journey to studying and working in public health. Why you are interested in your specific degree program? Note how your personal background has impacted your ability to obtain the knowledge or skills necessary to participate in your current academic program.
Path to Public Health Statement
Personal Statement

In no more than 500 words, describe how completing this degree program supports your academic goals and will contribute to your development as a public health practitioner. Discuss what you plan to do after graduation.
Personal Statement
Have you received funding for your degree program from any other source?
Section 2: Curriculum Vitae/Résumé

Upload a copy of your CV or résumé. It should include your educational and employment history, any professional memberships and activities, and any publications, presentations, and projects completed.
Upload CV or résumé

Upload a File

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Section 3: Additional Requirements

Eligibility

I understand that students are only eligible to receive this funding award one time and I confirm that I have not previously received it.

Citizenship Status

Each student receiving tuition support must be a U.S. citizen, a non-citizen U.S. national, or a foreign national with a visa permitting permanent residence in the United States. Individuals on temporary or student visas are not eligible.

Photography

The Northwest Center for Public Health Practice (NWCPHP) may take or use photos and videos from the tuition support program for use in its educational and promotional materials. You grant NWCPHP full rights without compensation to use any photos, videos, or recordings containing your likeness taken during the routine course of the event, by NWCPHP or its official representatives, to be used in future educational or promotional endeavors of NWCPHP, the School of Public Health, and the University of Washington, without any further notice. This permission may be revoked in writing to NWCPHP.
Acceptance of terms
How did you learn about this opportunity?

Other
The Northwest Center for Public Health Practice at the University of Washington School of Public Health is one of ten regional Public Health Training Centers funded by the Health Resources and Services Administration.
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2026-27 Student Tuition Support Application