Registration



this determines whether the program-specific sections appear






There has been an error in loading this form.
Please check to make sure you are using the correct link. If you continue seeing this message, please contact learn@uvm.edu for assistance.
Contact Information






US State/Zip


Phone Number



Phone Number - Admin



Phone Number



Social Security Number


This data will be encrypted and not shared. This information is used to provide secure access to University software and services required for this course, ensure that all your UVM records are kept together, and improve your overall experience across all of UVM.
Student Demographics
Your response to the questions below helps us create a more diverse and inclusive learning environment for all.
Race/Ethnicity



optional; choose all that apply

You may enter a gender identity not listed above

This question is optional

This question is optional
Company Information

Enter n/a if not applicable

Enter n/a if not applicable

Past UVM students have a Net ID. A 'Net ID" is a UVM identifier that combines your first initial and last name. E.g. for "Joe Thompson" the net id would be "jthompso"

For research purposes only

A UVM affiliate is a current student, faculty, or staff at UVM, or UVM Health Network Employee






Dietary restrictions?

We want to serve you a meal that meets your dietary needs
Certificate Option

MCAT

In what year do/did you expect to complete your undergraduate degree?


Date must be after the 20th of the current month
IREMS


RELEASE AND WAIVER OF LIABILITY: As a condition of accompanying rescue personnel on fire apparatus or ambulances, I hereby acknowledge and assume full responsibility for any physical injuries and/or other damage(s) that may occur while I am a voluntary occupant in such vehicles or while I am at the scene of any emergency or non-emergency situation with rescue personnel. I fully understand that when rescue personnel dispatches equipment in response to a fire, rescue or other crisis call that it means that rescue personnel are responding to a potentially hazardous situation which may result in my (or, in the case of a passenger between the ages of 16 and 18, my child's) exposure to known and unknown hazards. I understand that this includes exposure to and/or use of Fire apparatus/ambulance equipment that may break, malfunction or be used improperly by the operators of that equipment. I agree to immediately and fully obey all lawful requests and commands of the fire apparatus/ambulance organization leader and shall not participate in any medical treatment or care unless specifically requested by the assigned leader. I also understand that I may be exposed to certain confidential information. Accordingly, I will not reveal the identity of individuals, discuss the incidents with third parties or write about the incidents without the express written consent of the officers of the fire apparatus/ambulance organization. I agree to hold UVM, the fire apparatus/ambulance organization, and its officers, employees, and agents free and harmless from any liability, claims, suits or damages of whatever kind or nature that may be occasioned by the above-described events and waive any right of subrogation I may have. Such release shall not apply if liability for injury or damage arises from the gross negligence of UVM, the fire apparatus/ambulance organization or their officers, employees, and agents.

! When you click "Next" you are NOT registered yet !

You have completed step one of the process.

You must still select a registration option and complete the registration in our non-credit registration system.