ACCESS Registration – New Student ACCESS Registration Request Form Step 1 of 2 50% ACCESS Student Information Student Name(Required) First Last Student Email(Required) Student Date of Birth(Required) MM slash DD slash YYYY Student: Status(Required) First-time ACCESS student First-time ACCESS student + Former UW student Former ACCESS student First Year of Attendance(Required) As a UW or ACCESS student Student ID Number As a UW or ACCESS student Student NetID netid [@uw.edu] Student: Former Name only if applicable former first name former last name Student: Current Residential Address(Required) PO Boxes are not allowed. Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Student: Photo ID Upload(Required) As a first-time ACCESS student, you must provide a photo or scan of your valid WA state driver's license or ID. Accepted file types: jpg, jpeg, gif, png, pdf, Max. file size: 49 MB. Class Information Select Campus(Required) UW-Bothell UW-Seattle UW-Tacoma Class Registration Limit(Required) Would you like to be registered into one (1) or two (2) classes this quarter? One class Two classes Class Selection(Required) You may list up to five (5) class options, in order of preference. Use the ⊕ to add a new row. * Required fields *SLN: Ex: 99999 | *Abbr & Number: Ex: HIST 225 | *Section: Ex: B | Credits: Ex: 5 | Entry Code: Ex: 12345 *Class: SLN *Class: Abbr & Number *Class: Section Class: Credits Class: Entry Code Add Remove Confirmation & Agreement I confirm I am over 60 years of age. I confirm I am a Washington state resident. I confirm I am taking class(es) on an audit basis, not for credit. I agree to pay all ACCESS fees by the third Friday of the quarter. I understand registration begins on the 3rd day of the quarter and on a space-available basis. I understand I will not be registered for any classes where I omit any necessary registration information, i.e., SLN, Entry Code. I confirm and agree to the ACCESS Program Policies