Appointment Request/Problem Description Form

Statistical Consulting Programs
University of Washington

To request an appointment and/or submit a problem description, please enter your...

Name Department
P.O. Box Phone Number
E-mail Address UW Status

Thesis or Research

Advisor (if student)

Research Funded


If you do not have a UW affiliation, please enter your professional or business affiliation and mailing address.

Have you consulted with us (Biostatistics or Statistics) previously?

Yes No

If you answered "Yes" to the previous question, does the current consultation concern a project you have discussed with us before?

Yes No

If you answered "Yes" to the previous question, please enter the most recent academic quarter (e.g. "Winter 2003") during which this problem was discussed with us.

The schedule of appointments for the current academic quarter can be seen in the U.W. Statistical Consulting Calendar. Please examine this calendar carefully for appointment slots marked " OPEN ". Note: Biostatistics appointments usually take place in the F-643 Conference Room (inside Biostatistics' F-600 office suite), Health Sciences, while the Statistics appointments take place in Room C-302 of Padelford Hall on UW's upper campus. In the following box please enter the dates and times you prefer to request for an appointment.

Indicate here the department in which you request an appointment to be scheduled:
Biostatistics (HSB H-657) ,   Statistics (Padelford C-302)

You will be contacted by phone or email to confirm an appointment time and date.  Note that you are permitted to schedule an appointment only in one department or the other, whatever you find most most convenient, and that appointments can be scheduled only during the four academic quarters when the University of Washington is in session.

How did you find out about this consulting service?

Flyer/Bulletin board posting
World Wide Web posting/link
University Week notice
Word-Of-Mouth Referral
Other, please specify

In the input box below, please describe your scientific problem and the statistical issues you want to discuss (e.g., study design, methods of analysis, interpretation and/or presentation of results).  Please begin with a statement of your scientific aims and, if possible, provide some background or context for us.

It is often helpful to:

Enter your problem description here.  You are welcome to send further information by email (with attachments) or regular/campus mail.

In addition, please indicate whether you are looking mainly for consultants to provide:
consultation and guidance, or
(collaborative) analysis of your data.

In order to confirm your appointment with us -- and to help us prepare for the appointment -- we require that you submit this problem description form at least one day prior to your scheduled appointment.

We look forward to meeting you. If you are unable to make the above appointment, please contact the appropriate department to cancel and reschedule.


Dept of Biostatistics, Box 357232
F-600 Health Sciences Building
ph: 206-685-9496

Dept of Statistics, Box 354322
B-313 Padelford Hall
ph: 206-543-7237, fax: 206-685-7419