Account requested by (your name)
Instructor/faculty member name
Institution/school
Department
School address
City
State/Province
Zip Code/Postal Code
Time Zone
Office phone number
E-mail address
Is this instructor also going
to be the SimNet Administrator?
Yes     No...
SimNet Administrator Name
Institution/school
Department
School address
City
State/Province
Zip Code/Postal Code
Office phone number
Email address
Course Number
Course Name
Expected number of students per year

Materials currently used for the course:

Textbook in use
Software in use
Preferred Enterprise Subdomain* .simnetenterprise.com   (ex. http://mcgrawhill.simnetenterprise.com)
Preferred Administrator User Name* - Alphanumeric characters only
Preferred Administrator Password* - Minimum 6 characters, Alphanumeric characters only

Indicate whether this account is for:
Evaluation  (30-day account with option to renew for another 30 days)
Adoption   (confirmed adoption; no time limit on account)
Rollover Adoption (previous SimNet user moving to new version)

*If the subdomain, user name or password you request is unavailable, we will e-mail you to request an alternate.
Please choose the content for SimNet®:
Please choose the version of SimNet® requested:

Please choose the edition of SimNet® requested:

 Enterprise Edition  
 Blackboard Edition *  
 WebCT Edition...

*SimNet® is only compatible with Blackboard Learning Systems 6.0 or higher, will not work with Blackboard Basic.
Technical contact on campus
Office phone number
E-mail address
McGraw-Hill representative
Notes or Comments