BEFORE YOU BEGIN — Please review the application first and be sure that you have all of the information you need before filling out the form. You will NOT be able to save your work and return to this form at a later time.
When you have the information you need — fill out the registration form below.
When the registration form is completed and you’re ready — click SUBMIT.
IMPORTANT — Stay on this page until the form is done processing — otherwise, it may not go through. You will receive an email confirming that LUM has received your registration when it is submitted properly. When typing information into this form, please do NOT use only lower case or upper case letter.
5th Quarter – Important Information, click HERE
5th Quarter – main page, click HERE
For a PDF version of the 5th Quarter Application & Medication Record Forms, click HERE.
No LUM Program applicant shall suffer discrimination due to his/her race, religion, national origin, gender, age, marital status, physical handicap, sexual orientation, political association or belief, or union affiliation or activity.