Legal First Name*

Middle Name or Initial

Legal Last Name*

U of M Student ID# (if known)

Email (personal email address preferred)*

Retype Email*

Password or Passphrase*

Enter a strong password that is at least 16 characters - a combination of uppercase, lowercase and numbers

Retype Password or Passphrase*

Date of Birth*

Enter date as mm/dd/yyyy

Sex <br><small>If you choose to provide this information, it is recorded in your private University of Minnesota Twin Cities (U of M) record and is shared with the Minnesota Department of Education for reporting purposes.</small>

Select Male Female Note: Once your U of M record is created, you have the option to change your personal pronouns and gender identity. Learn more at http://z.umn.edu/pronouns-and-gender-identity

<small>If you would like the opportunity, we invite you to share your personal pronouns.</small><br>Personal Pronouns

Select He/Him/His He/They None (name only) Enter your own Prefer not to specify She/Her/Hers She/They They/Them/Theirs Ze/Zir/Zirs

Enter your own*

<small>If you would like the opportunity, we invite you to share more about your gender identity.</small><br>Gender Identity

Select Gender non-conforming Genderqueer Man Non-binary Enter your own Prefer not to specify Two Spirit Woman

Enter your own*

Are you of Hispanic or Latino descent?

Yes, I am Hispanic or Latino

No, I am not Hispanic or Latino

What is your race? Select one or more <br><small>Learn how the University defines ethnicity and race at <a href="https://admissions.tc.umn.edu/race-ethnicity-definitions" target="_blank">https://admissions.tc.umn.edu/race-ethnicity-definitions</a></small>

American Indian/Alaska Native

Asian

Black/African American

Native Hawaiian/Other Pacific Islander

White

Home Address*

Do not enter symbols (e.g. #). You may include Apt, Unit, Box etc.

City*

State*

MN WI

Zip Code*

Phone Number (10-digit)*

10 digits (i.e. 5551231234)

High School Class Status*

Select Senior Junior Sophomore Freshman

High School Graduation Year*

Select 2025 2026 2027 2028 2029

In the next step you will be able to select your U of M class(es)

Required items on this form are marked with a * and will be used for identification and to establish or reference your U of M student record. The remaining items are voluntary and will be used for positive identification, reporting, and institutional research.