School Alumni Chapters


Find us on Facebook!Telehealth GroundbreakingZippity Doo Dah gives to BCHJackson Free Clinic
  • Registration Form

    Please note: This registration form is for SHRP Alumni Day CE ONLY. If you plan to attend the SHRP Alumni Day Luncheon, please click here.

    First Name*
    Last Name*
    Mailing Address*
    Mailing Address Line 2
    City, State, Zip Code* -
    Phone (Home)*()-- ext.
    Phone (Business)()-- ext.
    Email*
    Class of*
    SHRP Program*
    Registration for each event below:




    Please list any accessibility resources
    (e.g. sign-language interpreters, wheelchair access, dietary, etc.) you may require during this event.
    Parking/Special Needs
    • All UMMC faculty and staff are expected to park in their assigned UMMC parking area.
    • Non-UMMC attendee parking designation will be available online at http://www.umc.edu/alumni by March 26, including map/ shuttle service information.
    • Disabilities Act: It is the policy of UMMC not to discriminate against any person on the basis of disabilities; if you feel you need services or auxiliary aids mentioned in this act in order to participate in this event, please contact the Alumni Office at 601-984-1115 or 800-844-5800.

    If you need additional assistance with registration, please contact the Alumni Office at (601) 984-1115 or (800) 844-5800.