UTMB eMini Medical School

eMini Medical School

Applying for Admission to eMini Medical School

You may participate in one, some, or all 15 eMini Medical School courses. Participants will receive an eMini Medical School diploma for each semester completed.

Diplomas are mailed every six to eight weeks to participants who have completed a semester of courses as of that date.

Registration:
Tuition is free. Advance registration is required.

For optimal use:
- Internet Explorer is recommended as a browser while registering for and participating in the classes.
- Avoid the use of apostrophe marks/single quotation marks when completing the registration form.
- Use only standard letters and numbers for passwords when completing the registration form.

To register, complete the following form:
Please complete the form below. Please type information exactly as you would like it to appear (proper capitalization, etc.). A red asterisk (*) indicates a required field and must have an entry. When you have completed the form, click on the "Submit Registration" button to submit your registration.

* Salutation:

* First Name:

* Last Name:

* Street Address:

* City:

* State/Province/Region:

* Zip/Postal Code:

Country:

Day Phone:

Evening Phone:

FAX:

* E-mail:

* Category

* How did you hear about eMini Medical School?

Please Note: eMini Medical School requires user authentication, i.e. a user name and password. Below, please enter a password you would like to use to access the system. Your username will be the complete email address you entered above.

*	Password: