Student Registration 2020-2021
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First Name *
Last Name *
School Address/Dorm (please include city, state, and zip code) *
E-Mail Address *
Cell Phone *
University Status *
Required
Major/Department *
Parent(s) or Guardian(s) Name *
Home Address (please include city, state, and zip code) *
Liturgical Ministries: Select one or more ministries that interest you
Mission Trips
Spiritual/Other Opportunities: Select one for more opportunities that interest you
Other:
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