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2017 UT Arlington AP* Summer Institute
Registration Form

To register for the 2017 UT Arlington AP* Summer Institute, you can fill out the form and submit it online.

If you need to print out the form for your school to process, or if you want to mail or fax it in to us, fill out the form and then click the "Mail-In Registration" button. Our mailing address and fax number are at the bottom of the page.

Items marked with a red asterisk ( * ) are required fields.

Please note: UT Arlington is a tobacco-free campus.

  Select your course

If you register for a full course, you will be placed on a wait list. If a space becomes available, participants on the wait list for that course will be contacted in the order of registration.

*Please enroll me in:

Week 1 - June 12 - 15, 2017:
Subject Areas: Art, English, Foreign Language, Mathematics, Science, Social Studies

Week 2 - June 19 - 22, 2017:
Subject Areas: Art, Capstone, Computer Science, English, Foreign Language, Social Studies

Week 3 - June 26 - 29, 2017:
Subject Areas: Art, English, Foreign Language, Mathematics, Science, Social Studies

  Personal and School Information

A registration receipt will be emailed to you after you complete this form. Please list an email address that you will check regularly. You should receive the email immediately but if you do not received it within a few days, please contact the UT Arlington AP* Summer Institute at 817-272-7215 or e-mail

*First Name:
Middle Name:
*Last Name:
*Home Address:
*Home city:
*Home state:
*Home zip:
*Home phone:
*Contact email:
*Re-enter your Contact email:

We will send automated emails to your email address, such as the registration receipt, course-related information when you are enrolled and important notices prior to the institute. Please give only one address.

Alternate email:

Please list only one address.

Additional Registration Receipt Emails:

If you would like to have your registration receipt sent to an additional email address, please enter that email address here. To send to more than one address, separate them with a semi-colon { ; }. Failure to use a semi-colon may result in no additional emails being sent. Addresses entered in this field will not be saved.

Special needs of participant:
(accessibility, dietary, et c.)
Emergency Contact:
Emergency Contact Phone number:
My school is outside the U.S.

Choose your school district from the list below. If your Texas school district is not listed, choose Not listed and you will be able to enter your district information. If your school does not have district administration or your school is not in the state of Texas, choose Not listed and reenter the name of the school.

*School District:
*School List:

*School Phone:
*How many years have you taught AP* courses:
*How many years have you taught Pre-AP* courses:
*What grade range do you currently teach:
  Parking options

Please choose one of the following options:

 I do not require parking.  Automobile  Motorcycle  Disabled

Parking on the campus is free but you must register your vehicle before you arrive. UT Arlington enforces valid parking by scanning license plates. This includes motorcycles, rental cars, and temporary paper license plates. You can enter up to three license plates later in your participant portal. You will receive portal access information after you are registered.

APSI Registration Tuition:
(After May 1, 2017) (includes lunch Monday through Thursday)
Total Amount Payable to UT Arlington APSI:
(Payable in U.S. Dollars)

Payment by Personal or Institutional Check are not available with online registration.
To pay by Check, you can download our registration form or fill out this web form and click Mail-in Registration at the bottom.
To pay by Institutional Check, you can additionally choose to pay by Purchase Order.

 College Board Scholarship
 Purchase order
 American Express
  Final Information

Click the Submit Online Registration button to send your registration information. You will then be presented with a page that has your registration receipt which you should print out and keep for your records. A copy of this information will be immediately emailed to the address(es) you provided. You will will not be enrolled in your chosen course until we have received your registration payment.

Click the Mail-in Registration button to display your registration information in a printer-friendly format. Mail or fax your registration form along with payment information to our office. You will not be registered until we receive a completed form and payment
Please note: if you do not click Mail-in Registration, and instead print this page and fax it in to us, some of the text will be illegible, which will delay your registration.

Please note: UT Arlington is a tobacco-free campus.

You may be entitled to know what information UT Arlington (UTA) collects concerning you. You may review and have UTA correct this information according to procedures set forth in UT System Policy #139. The law is found in sections 552.021, 552.023 and 559.004 of the Texas Government Code. For more information, UTA's Privacy Policy is available on-line at

  Contact Information

Address any questions concerning APSI to:

AP* Summer Institute
Box 19322
Arlington, Texas 76019-0322

phone: (817) 272-7215
fax: (817) 272-5248


© 2017 AP Summer Institute @ UT Arlington
College Hall, Suite 108 • 600 South West St • Arlington, TX 76019
e:  •  p: 817-272-7215  •  f: 817-272-5248
Trademark Notice: College Board, AP, Pre-AP, Advanced Placement Program, AP Vertical Teams and the acorn logo
are registered trademarks of the College Entrance Examination Board. Used with permission.