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Create a New Account
Fill out the form below in order to create a new account on this system. Questions marked with a * are required.
Email Address:
 *
First Name:
 *
Last Name:
 *
University of Michigan Uniqname:
*

 

University of Michigan ID Number:
*

 

Cell phone number (preferred) or local landline:
*

 

Alternate phone number:
School/College:

  LSA

  Engineering

  Education

  Kinesiology

  Other

* You must select at least one of the above answers.
Major(s):
*
Class Standing:

  First Year

  Sophomore

  Junior

  Senior

  Graduate Student

  Staff

  Other

* You must select at least one of the above answers.
Expected Year of Graduation:
*
Password
Password:
 *
Re-Enter Password:
 *
Email Options
Send an Email:

When I make an appointment.
When I modify an appointment.
When I delete an appointment.
When an announcement or mass email is sent.
To remind me of my upcoming appointment.
Include iCal Link?

Text Message Options:

You have the option of receiving appointment reminders and waiting list "appointment available" notices via text message instead of via email. If you would prefer to receive text message notices, enter your ten-digit cell phone number and select your carrier below.

Charges may be incurred by sending text messages to your cell phone. You are agreeing to be responsible for such charges by using this optional feature.

CELL PHONE NUMBER (TEN DIGITS, NUMBERS ONLY):

CELL PHONE CARRIER: