DO-IT Pals Application


This form is to be completed by a junior high or high school student applicant who has a disability. To submit the application select the SUBMIT Form button near the end of the form. To reset select the RESET Form button near the bottom of the form. You may print out this form, fill it out (attaching additional pages as needed), and return it to DO-IT


Applicant information
















Ethnicity: Select one (optional)

Race: Select one or more (optional)






Respond to items 1-6 below.





  1. Do you have access to a computer regularly? (optional)

  2. Do you have regular access to the Internet? (optional)


All DO-IT Scholars program offerings are contingent upon receipt of grant funding.

The University of Washington ensures equal opportunity in education regardless of race, color, creed, religion, national origin, sex, sexual orientation, age, marital status, disability, disabled veteran, or Vietnam era veteran status in accordance with University policy and applicable federal and state statutes and regulations. 7/96

Additional Information

DO-IT (Disabilities, Opportunities, Internetworking, and Technology) serves to increase the successful participation of individuals with disabilities in challenging academic programs such as those in science, engineering, mathematics, and technology. Primary funding for DO-IT is provided by the National Science Foundation, the State of Washington, and the U.S. Department of Education. DO-IT is a collaboration of UW Information Technology and the Colleges of Engineering and Education at the University of Washington.

To order free publications or newsletters use the DO-IT Publications Order Form; to order videos and training materials use the Videos, Books and Comprehensive Training Materials Order Form.

For further information, to be placed on the DO-IT mailing list, request materials in an alternate format, or to make comments or suggestions about DO-IT publications or web pages contact:

DO-IT
University of Washington
Box 354842
Seattle, WA 98195-4842
doit@uw.edu
www.uw.edu/doit/
206-685-DOIT (3648) (voice/TTY)
888-972-DOIT (3648) (voice/TTY)
206-221-4171 (fax)
509-328-9331 (voice/TTY) Spokane

Founder and Director: Sheryl Burgstahler, Ph.D.

DO-IT Funding and Partners