Fill out the form below in order to create a new account on this system. Once you've successfully registered, you'll be able to log in to the system immediately. Questions marked with a * are required.
Email Address *
First Name *
Last Name *
First name and nickname (if you prefer this) and last name *
Student ID *
First or Home Language *-- please select --EnglishArabicChineseFrenchGermanJapaneseKoreanPortugueseRussianSpanishOther
Telephone Number *
What year of study are you in at Bentley? *-- please select --first yearsecond yearthird yearfourth yearfirst year graduatesecond year graduate
Passwords must be ten or more characters long.
Re-Enter Password *
Send me an email when my appointments are made, modified or canceled:
Send me an email with center announcements or other mass mailings:
Send me an email to remind me of my upcoming appointments:
Include iCal links with appointment confirmation messages? NoYes
Fake Registration Prevention
In order to help prevent fake or automated registrations on this system, please complete the captcha form below.
POWERED BY WCONLINE® 7.4.3Copyright © 2021. All rights reserved.