Non-UH Main Campus Affiliates HPE DSI course registration form

Attendees who are not current UHS student, staff or faculty, will need to make a payment for the course prior to its commencement. Please refer to the specific course page that you plan to take for the payment link.

Please complete the payment of the course fee ($250.00 per course) at least three(3) weeks before course commencement.

Submit this form at least three(3) weeks before the course start date. This will allow adequate time for processing of your course access credentials before the first-class meeting.

Please Note:

You only need to fill out this form if you do not have active Cougarnet credentials.
Are you affiliated to UHS (Clear Lake, Victoria, Downtown, Sugar Land or Katy campuses)? *

Are you affiliated to UHS (Clear Lake, Victoria, Downtown, Sugar Land or Katy campuses)? Yes No
Which UHS campus are you primarily affiliated with?

Which UHS campus are you primarily affiliated with? Clear Lake Victoria Downtown Sugar Land Katy None of the above
Name Name * First Last
Address Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email *
Phone Phone * - ### - ### ####
Date of Birth Date of Birth * / MM / DD YYYY
Gender *
Unique Identifier *
DL # *
Passport # *
MyUH ID # *
UHS Email *
List the HPE DSI courses, this registration would be used for.

Non-UH Main Campus Affiliates HPE DSI course registration form

Non-UH Main Campus Affiliates HPE DSI course registration form

Please Note: