UW Learning Experiences Focus Group Interest Form
Thank you for your interest in participating in this focus group study. In order to be considered for participation you must be a currently registered undergraduate student at the University of Washington Seattle and at least 18 years of age. Focus groups will take place on campus on a weeknight from 6-8pm.

You must answer all questions to be considered for participation. If you are selected to participate, you will receive an email invitation.

If you have any questions, please contact Tyler Watson, Study Coordinator, tywatson@uw.edu.
Email address *
Are you a currently registered undergraduate student at the University of Washington Seattle and at least 18 years of age? *
What is your current year of undergraduate study? *
FIRST YEAR STUDENTS ONLY: Please indicate your availability on the following dates/times:
SECOND YEAR STUDENTS ONLY: Please indicate your availability on the following dates/times:
THIRD YEAR STUDENTS ONLY: Please indicate your availability on the following dates/times:
FOURTH YEAR OR MORE STUDENTS ONLY: Please indicate your availability on the following dates/times:
What is your gender identity? *
What is your race/ethnicity? *
Are you a transfer student? *
Have you ever received a Pell grant? *
Which of the following best describes the educational experience of your parents?
What is/are your current or intended major(s)? *
Your answer
Which of the following activities have you completed or are you now participating in? Please check all that apply. *
Required
You have reached the end of this survey, thank you for your responses. If you are selected to participate, you will be contacted by email.
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