UNITE REGISTRATION SHEET
For Returning Students



PERSONAL INFORMATION

Use this form ONLY if you have registered for a course through UNITE within the past twelve months.

- If you are new to UNITE, please use our UNITE Registration Sheet for New Students.

- If you have previously registered in a course through UNITE and your contact information has changed since last enrolling, please update those fields on this form as well.

* Indicates this is a required item

Last Name * First Name * Middle Name *
University of Minnesota ID Number * (seven digits, including leading zeros if applicable)
University of Minnesota Email Address *

Address (only if changed since last enrolling through UNITE):
Unit & Street:
City/State/Zip:

REGISTRATION

If you are already enrolled in an on-campus section of a course and are using this form to CHANGE your registration to a UNITE section of that/those course(s), please tell us which course(s):

UNITE Course Enrollment
Select Term:

Dept. Course # Course Title Credits Grade Option

Grade Option: A-F - Standard Letter Grade, S-N - Satisfactory/Unsatisfactory, AUDIT - Visitor/No Credit

If you are registered for other UNITE course(s) in same semester, check here:

If you are registered or plan to register for on-campus course(s) for in same semester, check here:

What date/time is your assigned registration queue for same semester?

 

Additional comments for UNITE regarding this registration (200 character limit):

EXAM AND QUIZZES

For courses with exams and/or quizzes, UNITE-enrolled students are required to take the exam with a UNITE-approved proctor on the same day/same time as the on-campus section of the course (see Exam Infomation for UNITE-Enrolled Students Icon to indicate link opens in new window or tab.).

Only instructors may grant permission to time-shift an exam time or to take the exam with the on-campus section. UNITE can not approve any modifications to this policy.

* By checking this box, I agree to abide by the UNITE Exam Policy.
(CHECK HERE)

TRAVEL DURING SEMESTER

Enrollment through UNITE is limited to students within the United States during the semester, even for students who may be enrolled in on-campus sections of courses during the Fall and Spring semesters and are away from the country for the summer semester.

Students who must travel outside of the United States for work obligations during a semester must seek permission from their instructor(s) if exam(s) require a time-shift and the UNITE office to approve the proctor for exams.

* By checking this box, I agree to this Location & Travel Policy.
(CHECK HERE)

STUDENT INSURANCE COVERAGE

Beginning fall semester 2012, all students who are 1) admitted to a degree program, and 2) registered for six or more credits per semester (or three or more credits during summer term) that count towards the automatic assessment of the Student Services Fee, are required by the University of Minnesota to have health plan coverage. Students who meet both of these criteria are automatically enrolled in the University-sponsored Student Health Benefit Plan.

Note that UNITE courses are EXCLUDED from the automatic assessment of the Student Services Fee (see criterion number 2, above). However, if you combining UNITE courses with on-campus sections, you may automatically be enrolled into the Student Health Benefit Plan.

All Student Services Fee-paying University students will be automatically enrolled in the University-sponsored Student Health Benefit Plan and billed a non refundable semester coverage fee. To avoid being charged, students who have active health plan coverage that meets certain existing coverage requirements may request to waive the University-sponsored Student Health Benefit Plan (http://shb.umn.edu/students-and-scholars/shbp-waiver).

* By checking this box, I understand the University-sponsored Student Health Benefit Plan.
(CHECK HERE)

Press the button below to submit this course request. Upon successful submission, in the browser window that follows this window, you will see a message informing you that your request has been sent and you may close the browser window. If the message in the next indicates otherwise, please follow the instructions provided.



 

Questions?
Phone:  612-624-2332
Email: unite@umn.edu