Submit your letter online

Basic Information

Please fill out and submit this form, even if your scholarship does not require a thank-you letter. (If you don’t need to write a letter, you can skip the “Your Letter” section.)

Name(Required)

First Last

Email(Required)

Enter Email Confirm Email

Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone(Required)

Please list your hometown and state

What type of scholarship did you receive?(Required)

Current grade level/year(Required)

Projected graduation year(Required)

First-year WWAMI site

College

College mentor

E-year(Required)

Current grade level/year(Required)

Projected graduation year(Required)

First-year WWAMI site

College

College mentor

Current class(Required)

First-year WWAMI site

Current class year

Your Letter

Please submit a separate letter for each scholarship or student support fund you’re receiving this year. (Note: not all scholarships and support funds require a thank-you letter. You can skip this section if a letter is not required.)

How many letters do you need to submit?

Find your scholarship

Please paste your letter below:

Find your scholarship for letter two

Letter two:

Find your scholarship for letter three

Letter three:

Find your scholarship for letter four

Letter four:

Share Your Photo(s)

Donors love to see photos of the students they’re helping! You can share formal or informal pictures, at work or having fun, by yourself or with your family. We’ll resize your photo(s) and put them at the top of your letter.

For privacy reasons, please do not include photos with patients. We won’t be able to use them.

The maximum file size is 5 MB. To submit a photo with a larger file size, please email it to Tricia Riley at pjriley@uw.edu.

Photo #1

Max. file size: 5 MB.

Photo #2

Max. file size: 5 MB.

How We Use Your Information

Your thank-you letter and pictures will be shared with your scholarship donors. Sometimes, we also use student stories and pictures in other communications, like newsletters or emails. We will always contact you and ask for your permission before using your letter or photo. Please check the box below to show that you have read and understood this section.

Your permission(Required)

I understand that UW Medicine will share my letter and my picture(s) to help thank scholarship donors for their support. UW Medicine will not use my letter or picture for any other reason without my permission.

Privacy
Many donors enjoy contacting students once they’ve heard from them. Please let us know if you’d like us to share your contact information with your donor(s).

How we use your information(Required)

Yes, you can share my email address with donors.

No, please do not share my email address with donors.

Other comments

If your submission was successful, you will receive a confirmation email. If you have any problems submitting this form, please Monique Savedo at msaved@uw.edu or 206.685.5592.