Palmer Test Palmer Student Confirmation with INFST First Name* First Last Name* Last Email* Phone* Projected Graduation Date?* Date Format: MM slash DD slash YYYY Student ID* Drop files here or Please upload a current copy of your student ID. Schedule* Drop files here or Please upload a current copy of your student schedule. Confirm* By checking this box, you are confirming that you are an unlicensed, full-time student enrolled in a doctoral program. (MD, DC, PT, DO, ND, DVM, etc) Confirm* By checking this box, you are agreeing to register for the next 800 CNS onsite course with a group. 800 Series Modules* 804 - Spinal Cord805 - Reflexogenic Systems806 - Autonomic Nervous System807 - The Cerebellum808 - The Brain and It's Environment809 - Cranial Nerves810 - Lobes of the Brain Please let us know which module you are planning to attend. Name This field is for validation purposes and should be left unchanged.