E-mail form - registration request

University ID Number or SSN# (Do not enter dashes - )

First name -Required

Middle name or Initial -Required

Last name -Required

Former name

Birth date M/D/Y -Required 1 2 3 4 5 6 7 8 9 10 11 12 / 12345678910111213141516171819202122232425262728293031 / 200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119201919191819171916191519141913191219111910190919081907190619051904190319021901

Current street address -Required

Apartment or suite number

City -Required

State -Required Select a state other or none Alabama Alaska Arizona Arkansas California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip code -Required

Country -Required

Day phone (include area code)

Evening/cell phone (including area code)

E-mail address -Required

Re-enter your e-mail address

Are you currently admitted to a University of Minnesota degree program?

Tuition level Undergraduate Graduate Professional

Term -Required Summer 09

Registration request- tuition and fees

Non-degree-seeking students are required to pay tuition, fees, and all other charges on their account in full by the billing due date for the semester.If payment is not received by the due date, your registration will be canceled. An e-mail will be sent to your University e-mail account after the term begins, notifying you that your bill is ready to be viewed on UM Pay, the electronic billing and payment system. You will not receive a paper bill. More information is available from One Stop Student Services at 612-624-1111 or helpingu@umn.edu .

All students will be billed electronically by the University for tuition and fees for all courses, including those courses taken with the audit grading option. Although you receive no credits for the audit grading option, the credit equivalents count in the credit totals for both tuition and student services fee assessment.

Hospitalization insurance

Non-degree-seeking students are not required to provide Hospitalization insurance information.

Degree-seeking students only: The University requires that you carry hospitalization insurance when registered for six or more credits (three or more for summer). See the Boynton Health Services' health insurance information page. Complete the information below or enter the information on the Web before the end of the first week of the term (go to http://onestop.umn.edu and select Hospitalization Insurance under Quick Links).

Please fill in the following fields if you have your own insurance provider.

Name of insurance company

Insurance company phone number

Member ID number

Optional fees (all students)

(Please note that these are OPT-OUT fees. You will pay these fees unless you initial the boxes below. Visit Other Fees for the current fee amounts.)

Minnesota Public Interest Research Group (MPIRG)

Assessed to most students. The Minnesota Public Interest Research Group (MPIRG) is a nonprofit, nonpartisan, student-run organization funded at the Twin Cities campus by an optional semester fee. A statewide advocacy group, MPIRG gives the students the opportunity to speak out on public issues and work for social change. The fee supports a professional staff for lobbying, litigation, organizing, and research. Payment is refundable through MPIRG.

If you choose NOT to pay, initial here:

Collegians for a Constructive Tomorrow (CFACT)

Assessed to most students. Collegians for a Constructive Tomorrow (CFACT) is a non-profit, non-partisan, student run advocacy group that gives students the opportunity to participate in issues, research, and public policies revolving around environmentalism and other social concerns. CFACT upholds a conservative philosophy and believes that most consumer and environmental problems can best be met and overcome through the power of the free enterprise system and the ingenuity of science and technology. Payment is refundable through CFACT.

If you choose NOT to pay, initial here:

Register/add classes

Check class availability (on-line, real-time)

To register for classes, enter the class information below. If you are making changes from a previous class registration, enter as much information about that class as possible, then describe the changes you are making in the box provided. For each class you add, be sure to include a second-choice class in case your first choice has closed. Notice that each Class set refers to only one class. Please click one of the "Add a class" buttons, below, for each additional class you would like to add.

Class 1

First choice Class number (5-digit computer number) Subject, catalog number, section (Hist 1001, Section 2, C02, etc.) Credits (Units) Grading basis A-F S/N Aud Class permission number (if required) Additional information (optional) Second choice (If first choice is unavailable.) Class number (5-digit computer number) Subject, catalog number, section (Hist 1001, Section 2, C02, etc.) Credits (Units) Grading basis A-F S/N Aud Class permission number (if required) Additional information (optional)