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Register

Summer Institute participants must pre-register. Send in your registration form, but please note registration is not complete until full payment is received.

Summer Institute Register

Applications will be accepted until July 1, 2016. You can reserve a spot by sending in your registration form, but your registration is not complete and confirmed until we receive full payment. Contact Trudy San Jose White with questions.

Steps to Register

    1. Fill out and submit online registration form.
    2. Download and complete the payment form.
    3. (If requesting funds for travel) download and complete the travel assistance form.
    4. Mail or fax all completed forms to:

      Northwest Center for Public Health Practice
      Attn: Trudy San Jose White / Summer Institute
      1107 NE 45th Street, Suite 400
      Seattle, WA 98105
      Phone: 206.685.2931
      Fax: 206.616.9415
      Email: sanjose@u.washington.edu

    Confirmation will be emailed within one week of online registration. Contact Trudy San Jose White if you do not receive a confirmation.

    Please note: all applications and deposits must be received by June 1, 2016 to qualify for the early bird rate and July 1, 2016 to qualify for the program.

    Advance payment is required and accepted in the order received. Accepted methods of payment include: credit card, purchase order, and check (made payable to the University of Washington). For credit card payments, please call Trudy San Jose White at 206.685.2931 or fax or mail in a completed payment form to Trudy at contact information below.