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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:
 *
UM Uniqname — please just input your uniqname, without @umich.edu after it:
*

 

College you are affiliated with:
*

 

Department — please do not use acronyms or abbreviations (e.g., "Mechanical Engineering", NOT "ME"):
*

 

Role at U-M:
*
First or Home Language:
*
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?
*

 

Are you currently a Graduate Student Instructor (GSI), OR are you planning to be a GSI in a future term, OR are you enrolled in ELI 994, 580 or 584?
*

 

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
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?