Create a new myunh account

Course Choice*

Summer 2008
GRAD 941 Teaching Methods of Higher Education, CRN 30218

GRAD 942 Role of the College Professor, CRN 30317

GRAD 965 Classroom Research Assesment Methods, CRN 30345

Identification Information

First Name:* M.I.: Last Name:*

Birthdate*

Month

Day

Year

(Birthdate is used solely for ID purposes.)

Gender: Male Female

Mailing Address

Street/PO Box/Apt#:*

City:*

State/Province:*

Zip/PostalCode:*

Country/Nation:*

Permanent Mailing Address (If different from mailing address)

Street/PO Box/Apt#:

City:

State/Province:

Zip/Postal Code:

Country/Nation:

Daytime Phone Number:*

Best time of day to be reached? (morning or afternoon) :

E-Mail Address:*

Do you have a UNH e-mail account? Yes No
(If you do not have a UNH e-mail account, one will be created. Official UNH communications will be sent to this address.)

Have you previously taken a course within the University System of NH?* Yes No

If yes, when and what campus?

Select which best describes your current status, and provide specific information in the space provided. You must complete one of the following:

Faculty member at:

Graduate Student at:

Post-Doctoral Student at:

Other member at:

Are you a U.S. citizen or legal permanent resident? Yes No

If no, what type of Visa do you hold?
(If you are not a citizen or legal resident, and you are not residing in the United States, type "None".)

Ethnic Background (optional U.S. citizens only):
American Indian/Alaskan Native
Black-nonhispanic
Asian-Pacific Islander
Hispanic
White-nonhispanic
Non-resident alien

Payment Information

How do you plan to pay for the tuition and fees?

Credit Card (Visa, MasterCard, Discover)
Please Note: Once your MyUNH account is set-up by the University, UNH will contact you by e-mail with your account information and instructions on how to complete your payment and registration online, or you may call the UNH Registration Office at (603) 862-2015 or toll free at 1-800-313-5327 to process your payment over the phone.

I will send a check to the UNH Registration Office, Attention On-Line Courses, Stoke Hall, 11 Garrison Ave., Durham, NH 03824 to cover this expense. Note that your registration will not be complete until this check is received and processed. Please make check payable to UNH.

Payment will be sent to UNH by a third-party. (Send to UNH Registration Office, Attention On-Line Courses, Stoke Hall, 11 Garrison Ave., Durham, NH 03824.) Who will provide third-party payment? Include name and e-mail address of payment source: