Register for a New Account

Email Address *

PID#: *

Telephone Number *

First or Home Language *
-- please select --EnglishArabicChineseFrenchGermanJapaneseKoreanPortugueseRussianSpanishThaiAn African LanguageA South Asian LanguageA Caribbean LanguageAnother European LanguageAnother North American LanguageAnother South American LanguageA Pacific Islander Language

Class Standing *
-- please select --FreshmanSophomoreJuniorSeniorMasters Student-1st YrMasters Student-2nd YrMasters ABTDoctoral 1st YrDoctoral 2nd YrDoctoral 3rd YrDoctoral ABDPostdocStaff

Graduation Year *
-- please select --201620172018201920202021202220232024N/A

College *
-- please select --College of Arts & SciencesCollege of BusinessPatton College of EducationRuss College of EngineeringCollege of Fine ArtsCollege of Health Sciences & ProfessionsHonors Tutorial CollegeHeritage College of Osteopathic MedicineScripps College of CommunicationUniversity College

Major/Program of Study/Department *

Where are you at in your program? *
-- please select --UndergraduateCompleting Graduate CourseworkCompleting Comprehensive ExamsDrafting Prospectus/ProposalResearching Thesis/DissWriting Thesis/DissN/A

Advisor's Name (if you're a grad student or postdoc)

Password

Passwords must be ten or more characters long.

Email Preferences

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 agreee to be responsible for those charges. In order to opt out of receiving future texts, simply remove your number and carrier below.

Fake Registration Prevention

In order to help prevent fake or automated registrations on this system, please complete the captcha form below.