Fill out the form below in order to create a new account on this system. Once you've successfully registered, you'll be able to log in to the system immediately. Questions marked with a
* are required.
Email Address *
Academic Standing * -- please select -- Freshman Sophomore Junior Senior Graduate Student Staff Anticipated Graduation Year * -- please select -- 2021 2022 2023 2024 2025 2026 2027 N/A Major * Minor College * -- please select -- Applied Sciences and Arts Business Education Engineering Humanities and the Arts Science Social Sciences Undeclared First or Home Language * -- please select -- English Arabic Chinese French German Japanese Korean Portuguese Russian Spanish Other Gender * -- please select -- Woman Man Transgender Non-binary Ethnicity * -- please select -- African-American American Indian Asian-American Foreign National Hispanic White Other Are you a transfer student? * -- please select -- Yes No N/A Are you a veteran? * -- please select -- Yes No How did you hear about us? * Text Messaging Preferences
You have the option of receiving appointment reminders and waiting list "appointment available" notices via text message instead of via email.
In order to enable text messaging, enter your ten-digit mobile phone number and select your carrier below. Once saved, you can
test text messaging by returning here and selecting the new "test" link below.
Depending on your mobile carrier and plan, you may incur charges for receiving text messages. By entering your number below, you agree to be responsible for those charges. In order to opt out of receiving future texts, simply remove your number and carrier below. Mobile Carrier: -- please select -- AT&T Cingular (GSM) Cingular (TDMA) Cricket Google Fi Metro PCS Nextel Spectrum Mobile Sprint PCS T-Mobile US Cellular Verizon Wireless or Xfinity Mobile Virgin Mobile US Bell Mobility Bell Fido (Microcell) Koodo Mobile Manitoba Telecom Systems NBTel PageNet Rogers Sasktel Telus Virgin Mobile Canada 3 River Wireless Advantage Communications AirVoice AllTel Bell South (Blackberry) Bell South Mobility Bell South Bluegrass Cellular Boost Mobile C Spire CallPlus Carolina Mobile Communications Cellular One East Coast Cellular One PCS Cellular One South West Cellular One West Cellular One Cellular South Central Vermont Communications CenturyTel Cingular Wireless Cook Paging Corr Wireless Communications Dobson Communications Corporation Dobson-Alex Wireless / Dobson-Cellular One Edge Wireless Galaxy Corporation GrayLink / Porta-Phone GTE Houston Cellular Inland Cellular Telephone JSM Tele-Page Lauttamus Communication MCI Phone MCI Metrocall 2-way Metrocall Midwest Wireless Mobilecom PA Mobilfone Morris Wireless Nextel NPI Wireless Ntelos Omnipoint OnlineBeep Pacific Bell PageMart PageOne NorthWest PCS One Pioneer / Enid Cellular Price Communications ProPage Public Service Cellular Qwest RAM Page Safaricom Satelindo GSM Simple Freedom Smart Telecom Southern LINC Southwestern Bell Sprint Paging SunCom Surewest Communications Teletouch Telus TIM Triton TSR Wireless Unicel USA Mobility Verizon PCS Virgin Mobile West Central Wireless Western Wireless Wyndtell