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Saturday, September 4, 2010
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Student Registration Form
First Name*
Middle Name*
Last Name*
Gender*
Male
Female
Birthdate*
(MM/DD/YYYY)
Religion*
Marital Status*
Single
Married
Engaged
Separated
Divorced
Widowed
Current Collegiate Standing*
Freshman
Sophomore
Junior
Senior
Graduate Student
Began School in:*
(MM/DD/YYYY)
Expect to Graduate in:*
(MM/DD/YYYY)
Major*
Local Address*
City, State, and Zip*
Phone
Email*
Permanent Address/Parent Address*
City, State, and Zip*
Country (if other than the US)
Parent Phone
Name(s) of Parent(s)/Guardian(s)*
Ministry Opportunities
Please indicate in the area above any ministry opportunities about which you would like to be contacted: Music Ministry (sing or play music for Mass and special events), Student Leadership (organize retreats and service activities, campus outreach, etc.), Office Help (mailings and clerical tasks), Art and Environment (cleaning and decorating the worship space, linens), Community Service (Sustainability, 5% Committee, Advent House, Food Cupboard, Samaritans), Eucharistic Minisiter, Lector, Server (Mass Coordinator), Sunday School Teacher, Youth Ministry Leader.
How did you hear about St. John Student Parish?*
The Welcome DVD mailed to your home
State News Advertisement
A Dorm Representative/Resident Mentor
The Website: www.stjohnmsu.org
Friend
Other
Welcome Guide from the AOP Resource Fair
Please explain if "Other"
Security Code*
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