Photo Directory Authorization Form

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The following information will be accessible in the Jesuit School of Theology Directory to students, faculty, and administrative staff of JST. All student, faculty and staff contact information will be listed with a photo. Please list only the items you wish to be included in the directory. If you should choose not to list your photo, please opt out at the bottom of this form.

If you do not turn in a form, you will be listed with the contact information and photo that we have on file.

Name (exactly as you want it to appear in the Directory) *

Suffix (SJ, VDMF, etc.)

Preferred Phone

Preferred Email

For Religious, Name of Your Community

Degree Program

Th.M.

M.Div.

M.T.S. On Campus

M.T.S. Online

S.T.L.

S.T.D.

Renewal Program

M.Div/M.A.

Non-Degree

S.T.B.

M.A.

Clear selection

Please indicate if you give permission for your photo to be included: *

I DO give permission for use of my photograph in the JST Student Directory.

I DO NOT give permission for use of my photograph in the JST Student Directory.

Submit

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