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Student Registration

- Register

WELCOME!

Welcome to the Sacred Heart of Jesus Catholic Student Association (CSA)! In order to become a member, please fill out this form – this will allow us to add you to our list, inform you about our activities and events and help us get you set with your access code to our Student Center. Every college student willing to become a member of the CSA is required to fill out the registration form and provide necessary information together with emergency contacts. All your information is secure and will not be used or shared outside our ministry. To complete the process of registration you will need to meet with Fr. Norbert Jurek – our chaplain (you can do it after every Mass during the week or on Sundays). We would like you to use our Center to pray, study and have fun not only during regular hours when it is open to public, but at any time so we made it accessible 24/7. During your meeting with Fr. Norbert, you will receive your personal access code (PAC) to our Center so you can use it every time you want to come in.

Questions? Need to contact our priest? Send us an email (all the messages go directly to Fr. Norbert and HE WILL REPLY).
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- Student's Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  University Email Address REQUIRED Please fill out this field. Please enter an email address.
  
  Jag Number (Student ID if you are a college student at a different univeristy) REQUIRED Please fill out this field. Please enter valid data.
  
  Year REQUIRED Freshmen Sophomore Junior Senior Graduate Please fill out this field.
- Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- Student's Address
  
  Dorm Name Please enter valid data.
  
  USA Box Number Please enter valid data.
  
  Apartment Complex Please enter valid data.
- Church Information
  
  Have you received the sacrament of Confirmation REQUIRED Yes No Please fill out this field.
  
  Which parish have you attended (or been registered with) before becoming a college student? Please enter valid data.
- Parents information
  IMPORTANT: PLEASE PROVIDE AT LEAST ONE PARENT/EMERGENCY CONTACT PERSON INFORMATION
- Father's Information
  
  Father's First Name Please enter valid data.
  
  Father's Last Name Please enter valid data.
  
  Father's Street Address Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Father's Phone Number Please enter a phone number.
- Mother's Information
  
  Mother's First Name Please enter valid data.
  
  Mother's Last Name Please enter valid data.
  
  Same as Father's address? Yes No
  
  Mother's Street Address (if different from Father's) Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Mother's Phone Number Please enter a phone number.
- Parent's Information
  
  Is your emergency contact one of your parents? REQUIRED Yes No Please fill out this field.
  
  If no, please provide emergency contact information Please enter valid data.
- Please check at least one (or more) ministy/activity you are interested in and we will reach out to you Altar serving Extraordinary minister of the Eucharist Lector (reader) Women of Virtue group (study group for women) Bible study Prayer group (leading a prayer group, being part of a prayer group) Planning/organizing social events Social media (pictures, Facebook, Instagram) Maintenance group (healping take care of the building) Evangilization (outreach, promoting the Faith at the CSA) Charity projects (serving the poor and local community) Music (worship, Adoration music, preparing songs) Retreat organization
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Sacred Heart of Jesus CATHOLIC STUDENT CENTER

UNIVERSITY OF South Alabama

Student Registration

WELCOME!