All fields required (if applicable) except where indicated optional
Note: You should know your desired course section identifier before proceeding!
Personal Data

SSN or Student ID	Date of Birth mm/dd/yyyy	Gender
		Male Female

Last Name	First Name	Middle Name

Address

City State/Province Zip/Postal Code Country

Phone Day Evening   E-mail * Please double check your email address for accuracy. All communication will occur via email. It is imperative you provide a valid email address. Citizenship Country of citizenship: If not a US citizen, are you a permanent resident of the US? Yes No If you are a nonimmigrant visa holder, indicate the type of visa you hold: (e.g. student F-1, exchange visitor J-1, dependent of student F-2, dependent of exchange visitor J-2, or other (specify)) Racial / ethnic information (optional) Alaskan Native or American Indian African American / Black Hispanic / Latino(a) Asian or Pacific Islander White, not Hispanic or Latino(a)

University of Iowa History

Have you previously registered here? Yes No

Educational History If you are requesting Graduate credit you must provide information on your conferred undergraduate degree.  Do not provide information on advanced degrees such as Masters or PhD.

College or University City State/Province Bachelor Degree Earned Year Conferred Country, if other than US:

Session Information Which session will be your first registration?

Fall Spring Summer Winter Session Year For which credit level will you be taking this course? Undergraduate Credit Graduate Credit (Must complete Educational History section above)

Program Selection Please Select the type of course you wish to register in. Choose only those that apply to your first session registration.   Saturday & Evening Course On-campus courses Section indentifier:: SC_ (eg; XXX:XXX:SCA) Distance Education Course Web/ICN/Off-Campus courses (Section indentifier: EX_ (eg; XXX:XXX:EXW) Workshop Short-courses, generally 1 day-3 weeks in length Section indentfier: WK_ (eg; XXX:XXX:WKA)