College in the Schools Registration Form

This Section:

	College in the Schools (CIS)

	Benefits for Students, Teachers, and Schools Participating Schools Professional Development for Teachers Course Offerings Research about CIS Teacher Qualifications and Application Process CIS Teacher Resources CIS Student Resources Program Staff and Faculty

Related Links:

National Alliance of Concurrent Enrollment Partnerships (NACEP)

U of M Home | CCE Home | Search | Register

College in the Schools Registration Form

Required items on this form are marked with * and will be used for identification and to establish or reference your University of Minnesota student record. The remaining items (social security number, gender, and ethnicity) are voluntary and will be used for positive identification, reporting and institutional research. Please note that information provided on this form is not encrypted when you send it over the internet.

Please fill out the form and click "CONFIRM REGISTRATION INFORMATION" button at the bottom of this page.
On the Confirmation of Registration page, check your information and click "SUBMIT REGISTRATION" button at the bottom of the page.

NOTE: Fields marked with * are required.

STUDENT INFORMATION
Birthdate:*	UM Student ID # (if known):	Social Security Number:
Gender:*	Ethnicity:
Last Name:*	First Name:*	Middle Name or Initial:
Home Address:*
City:*	State:* Zip:*	Home Phone Number:*
High School Class Status:*	E-mail Address:*
Term:* Year:*
High School:*

If you are taking more than one CIS course during the same term--and have received course information from your other CIS teachers--you may register for all of your CIS classes at once.

COURSE INFORMATION
Class 1 (e.g., GER 1003):*		Section (e.g., 716 (54321):*
Instructor:*

Class 2 (e.g., GER 1003):		Section (e.g., 716 (54321):
Instructor:
Class 3 (e.g., GER 1003):		Section (e.g., 716 (54321):
Instructor:
Class 4 (e.g., GER 1003):		Section (e.g., 716 (54321):
Instructor:

Last modified: August 7, 2008

For more information call 612-624-4000.