Fill out the form below in order to create a new account on this system. Once you've successfully registered, you'll be able to log in to the system immediately. Questions marked with a * are required.
Email Address *
First Name *
Last Name *
UM Uniqname — please just input your uniqname, without @umich.edu after it *
College you are affiliated with *-- please select --LSAEngineeringArchitecture & Urban PlanningArt & DesignBusinessDentistryEducationEnvironment & SustainabilityInformationInstitute for Social ResearchKinesiologyLawMedicineMusicTheatre & DanceNursingPharmacyPublic HealthPublic PolicySocial WorkOther
Department — please do not use acronyms or abbreviations (e.g., "Mechanical Engineering", NOT "ME") *
Role at U-M *-- please select --Graduate: MastersGraduate: PhD (pre-candidate)Graduate: PhD (candidate)Graduate: Non-degreeFacultyStaff
First or Home Language *-- please select --EnglishArabicChinese: CantoneseChinese: MandarinChinese: ShanghaineseChinese: TaiwaneseChinese: otherFarsi (Persian)FrenchGermanIndonesianItalianJapaneseKoreanPortugueseRussianSpanishThaiTurkishVietnameseOther
First Language: if you answered "other", please explain here.
What other languages do you speak fluently? *
How did you find out about the ELI Clinics? *-- please select --Referral from an ELI faculty memberReferral from a non-ELI faculty member / GSI supervisor / academic advisorSuggestion by a friend or fellow GSIELI websiteAdvertisementI have used the writing clinic beforeOther
What ELI classes have you taken? — Please include any classes in which you are currently enrolled *
What would you like to accomplish in the ELI Clinics this term? — Please be as specific as possible *
Password (10 Character Minimum) *
Re-Enter Password *
Send me an email when my appointments are made, modified or canceled:
Send me an email with center announcements or other mass mailings:
Send me an email to remind me of my upcoming appointments:
Include iCal links with appointment confirmation messages? NoYes
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