Information Form – EWU Off Campus

Please fill out this form to receive information from the program you are interested in.

Degree Option
Location you plan to attend: * Required
Bellevue Degree Offerings * Required
Clark Degree Offerings * Required
EWU Online Degree Offerings * Required
Lower Columbia Degree Offerings * Required
North Seattle Degree Offerings * Required
North Puget Sound Degree Offerings * Required
Contact Information
Name * Required
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email * Required
Phone
Education Information
Are you a transfer student?
- Yes
- No
Enter Previous College:
Degree(s) completed or in progress:
Are you an international student?
- Yes
- No
I'll start at EWU:
How would you like to be contacted?
Additonal Information

Degree Option