Registration Form
Please reserve a place for me in the following session:
Tuesday, June 11, 6 - 8 p.m.
First Name
(required)
Middle Name
Last Name
(required)
Maiden Name
(if applicable)
Nickname
(if applicable)
Address
City, State, Zip
,
Home Phone
Work Phone
Cell Phone
Email
(required)
Date of Birth
(MM/DD/YYYY)
Current Employer
Have you requested literature or applied to St. Catherine University before?
(required)
Yes
No
If accommodations are needed, please specify:
Additional Information
Please select the major you are interested in:
Accounting
Business-to-Business Sales
Communication Studies
Communication (Interdepartmental Major)
Elementary Education
English
Financial Economics
Healthcare Management
Healthcare Sales
International Business and Economics
Marketing & Management
Nursing (Associate to Baccalaureate)
Philosophy: Ethics
Pre-Occupational Therapy/Occupational Science
Small Business/Entrepreneurship
Social Work
Theology
Women's Studies
Still Deciding
Any questions or comments you have about the
Evening/Weekend/Online program or this event:
How did you become aware of the Evening/Weekend/Online program at St. Catherine University? (check all that apply):
Friend, family member or coworker
St. Kate’s student or graduate
Advertising
Employer
Mailing from St. Kate’s
Internet search
Other (specify):
Where have you seen or heard ads for St. Kate's programs? (check all that apply)
FaceBook
Bus sides/transit
Radio
None of the above
Other (specify):
Please send me an Evening/WeekendOnline information packet:
Yes
No