Registration Form


Please reserve a place for me in the following session:
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)

Do you have a Bachelor's degree? (required)

If accommodations are needed, please specify:
Additional Information
Please select the major you are interested in:
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):






Where have you seen or heard ads for St. Kate's programs? (check all that apply)




Please send me an Evening/WeekendOnline information packet: