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Student Registration Information

Fields with an * are required.

*First Name:

Middle Name:

*Last Name:

Nickname:

Former/Maiden:

Student ID# (If Known)

We ask for the student's Date of Birth to create unique database records for our students.

*Date of Birth

Employer/Business:

Position/Title:

To prevent creating a duplicate record in the University of Utah's database; please check this box if you have taken courses, worked, or had any affiliation with the U of U in the past.

NOTE: Not all classes are eligible for the employee tuition reduction or Emeritus faculty discount. Classes not eligible will be indicated in the class note. If you have any questions about eligible classes, please contact our help desk at 801-581-6461.

Please select one of the following if you are eligible for a U of U employee discount. You must submit the Reduced Tuition Benefit form to receive the discount. If you do not qualify, you will be responsible for the course fees. Questions regarding status, please contact Human Resources Benefits at 801-581-7447. Reduced Tuition Benefit form: https://ubenefits.app.utah.edu/tuition/enroll

No, this student does not qualify for the U of U Employee discount.

Yes, this student qualifies for the U of U Employee Tuition Reduction. You must submit the tuition benefit form each term you register.

Yes, this student qualifies for the U of U retired Emeritus faculty discount. You must submit the tuition benefit form each term you register.

Address/Contact Information

*Address:

*City:

*State/Province/Region:

*Zip/Postal Code:

*Country:

*Primary Phone:

Alternate Phone:

*Email: Confirmation letters are sent automatically via email from the University of Utah systems.

IMPORTANT INFORMATION FOR UU EMPLOYEES/STUDENTS: If you are a current Faculty, Staff, and/or Student, your enrollment in our course authorizes us to replace your existing preferred email in the University database with the email you provide in this cart. Please call 801-581-6461 if you have questions.

*I have read and agree to Continuing Education's Drop/Refund Policy

This registration request creates an official University record. Student records at the University of Utah are governed by the Family Education Rights and Privacy Act (FERPA) and its implementing regulations. Under the Act, directory information relating to the student is considered to be public information unless the student formally requests that it be kept confidential.

The security of your sensitive information is important to us. When you enter personal information such as a credit card number on our registration forms, we encrypt that information using secure socket layer technology.

For more information regarding student data security and privacy, please see our Continuing Education Privacy and Security Policy page.

Please note: Continuing Education (CE) may, from time to time, take photographs, video tape, film, or make audio recordings in the classroom setting and use such materials to promote CE classes and for other non-commercial purposes. CE will never sell or rent this material.

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