Be added to the BurkeMobile interest list for the 2022-2023 School Year

BurkeMobile is available on a limited basis this school year. If you are interested in hosting a BurkeMobile visit to your school or organization, please complete the form below to be added to our interest waitlist. 


Please be aware that filling out this form does not guarantee we will be able to accommodate your request. We are prioritizing schools and organizations who qualify for cost assistance and/or are geographically further from the Burke within our service area.


If we are able to accommodate a program request from the waitlist, we will reach back out to you to finalize your reservation.


Questions? Email burked@uw.edu, Monday–Friday, 8 AM – 5 PM.
CONTACT INFORMATION







SCHOOL, ORGANIZATION, OR GROUP INFORMATION

Please tell us a little more about who the program would be for.





BURKEMOBILE PROGRAM SELECTION









PROGRAM LOCATION & PREFERRED DATES

Where would BurkeMobile be traveling to for the program(s)?                                                      






Please note: During the 2022-2023 school year, BurkeMobile is only being offered in Island, King, Kitsap, Pierce, Snohomish and Thurston counties.



Please provide (at minimum) your first choice date for the program:                                                








Please provide (at minimum) your first choice date for the program:                                                






COST ASSISTANCE REQUEST?
Our generous donors make it possible for us to offer cost assistance to eligible schools and organizations. Wondering if you qualify? Learn more about cost assistance eligibility.

COST ASSISTANCE INFORMATION
Needs-based cost assistance is available on a first come, first served basis. Please provide as much of the following information as possible to help us evaluate your cost assistance request.
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Please click "Submit" when you're ready to complete your request. We'll follow up within three (3) business days to go over your request with you and provide more information.