Student Registration
Sacred Heart of Jesus Catholic Student Center/Catholic Student Association at the USA
Email address *
First Name *
Last Name *
Gender *
Phone Number *
What university do you attend? *
Jag Number (Student ID if you are a student at another university) *
J00******
Year *
Expected Graduation Date *
Date of Birth *
MM
/
DD
/
YYYY
Major/Program of Study *
Are you Catholic? *
Have you been confirmed? *
If not Catholic, what denomination?
What is your home parish? (Parish, City, State)
Dorm Name
USA Box Number
Apartment Complex
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