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cS4D7oosopYXj3yskBTkaGnEkGnLvXZfkkC4wAgycIJ7hVvtTjLTFMbdBByEBw425dDhzqYdLrRdZ

2023 University of Washington INSIGHT Online High School Program Application

The 2023 INSIGHT High School Program is an exciting and interactive four-week program designed to introduce young scholars to public health, biomedical research, & medicine.

For 2023, the University of Washington's INSIGHT High School Program has been adapted to a virtual format. Students will take a deep dive into injury and violence prevention research through various activities. The program is open to high school students entering grades 10-12 or recently graduated.

Please be prepared to complete the entire form in one session. Once your application confirmation has been received, payment information will be provided. Your payment in full for $2,200 is required to secure your spot. Limited seats are available for this summer's INSIGHT Online High School Program, and the application will close on June 5, 2023, or prior to this date if all seats are filled.

Due to the interactive nature of the program, all enrolled students should plan on attending all sessions virtually for the four-week program.

Dates: July 10 - August 4, 2023

Application open date - March 1 - June 5, 2023

Location: Online

Tuition: $2,200*

Payment deadline: June 5th, 2023

*Limited scholarship seats are available. Please contact INSIGHT for further information: insightHS@uw.edu.

1. First name

* must provide value

2. Last name

* must provide value

3. Email address
(All correspondence regarding the application process is sent to the address you provide below. Please
ensure there are no typos.)

* must provide value

4. Telephone number

* must provide value

5. City

* must provide value

6. State

* must provide value

7. Country

* must provide value

8. Zipcode

* must provide value

9. How did you hear about the INSIGHT High School Program?

* must provide value

HIPRC website

Word of mouth

Social media

Counseling office

Google

Other

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9a. Please specify:

10. Name of current school
(Please do not use abbreviations. Please use complete name of school.)

* must provide value

11. I am currently a:

* must provide value

Freshman

Sophmore

Junior

Senior

Graduated Senior, attending a college or university in Fall 2023

Other

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11a. Please specify:

12. Current GPA or fail/pass status
(please indicate your cumulative GPA, not program or science GPA.)

* must provide value

13. Expected graduation date
(Example: May 31, 2023)

* must provide value

M-D-Y

14. Tell us how attending the INSIGHT Program aligns with or contributes to your career or education goals.

* must provide value

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15. I understand that the INSIGHT Program is July 10 - August 4, 2023, and my attendance and participation are required for the certificate of completion

* must provide value

Yes

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16. I have the necessary Wi-Fi access at home or other secure locations to enroll in the INSIGHT Program for the full 4 week duration

* must provide value

Yes

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17. My personal computer, laptop, or iPad have the required Zoom capable webcam to participate in the INSIGHT curriculum online. I understand that I cannot use my cellphone as the primary method for participation in the INSIGHT program.

Students must have access to a personal computer, laptop or iPad and Wi-Fi throughout the duration of the 4-week program to participate. Please email insighths@uw.edu if you do not have the required technology before submitting payment.

* must provide value

Yes

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