WA State Academy - student board member application 2023-2024

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* 1. Please add your info.

First name:

Last name:

Email:

Academy membership #:

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* 2. Please add your school/program/internship info here.

Bastyr University

Central Washington University

Seattle Pacific University

SeaMar

University of Washington

Washington State University

Other (please specify)

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* 3. Check your status below.

Undergraduate student

Graduate student

Intern

Other (please specify)

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* 4. Please add a short statement summarizing your interest.

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* 5. Are you able to serve from September 2023 through May 2024?

Yes

No

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* 6. Add any questions or other comments here.