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* 1. Are you attending or have you been admitted to one of the participating Independent Colleges of Washington (ICW) member institutions?

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* 2. Which of the following best describes your employment status?

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* 3. Are you able to make regular deposits and save $500 within 6 to 12 months?

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* 4. Are you eligible for or receive funds from the Pell Grant or State Need Grant programs? Check all that apply.
For information on Pell Eligibility, click here.
For information on State Need Grant eligibility, click here.

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* 5. Which ICW member institution do you currently attend or plan to attend?

  Plan to Attend Currently Attend
Gonzaga University
Heritage University
Pacific Lutheran University
University of Puget Sound
Saint Martin's University
Seattle Pacific University
Seattle University
Walla Walla University
Whitman College
Whitworth University

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* 6. What is your Permanent Zip Code?

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