Graduate Registration Form

SECTION I:  PERSONAL INFORMATION (TO BE COMPLETED BY ALL)

Date:                         Semester/Year:
Last Name      
First Name:     Middle:
School of Affiliation:        St. Bernard’s        Other
Classification:    MA      MDiv      GCT     UC     SS     CM     Diaconate          

SECTION II:  TO BE COMPLETED BY ALL NEW STUDENTS OR RETURNING STUDENTS WITH CHANGES.  ALL OTHERS SKIP TO SECTION III.
Address 1:     Apt: 
Address 2:     Apt: 
           City:       State:    Zip:
Home Phone:    Work Phone:   Ext:           
E-mail:  

For Reporting Purposes:
Gender: Male     Female           Denomination:
Date of Birth:      County of Residence:
Race: Black   Hispanic   Native American    Caucasian   Asian  
           Other  

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SECTION III:  COURSE REGISTRATIONS (TO BE COMPLETED BY ALL)  
                         Below is a listing of course numbers and titles. You can "cut and paste"
                         required course information to complete this section or keystroke
                         information.

COURSE #1:   Location:   Rochester          Southern Tier              Auburn  
                            Status:    Credit     Audit     Full Course     Half Course    1 Credit  
  Number and Title:

COURSE #2:   Location:   Rochester            Southern Tier             Auburn  
                            Status:    Credit     Audit     Full Course     Half Course    1 Credit  
   Number and Title:

COURSE #3:   Location:  Rochester            Southern Tier            Auburn  
                            Status:    Credit     Audit     Full Course     Half Course    1 Credit  
   Number and Title:

COURSE #4:   Location:   Rochester            Southern Tier            Auburn  
                            Status:    Credit     Audit     Full Course     Half Course    1 Credit  
   Number and Title:

COURSE #5:   Location:   Rochester            Southern Tier            Auburn  
                            Status:    Credit     Audit     Full Course     Half Course    1 Credit  
   Number and Title:

COURSE #6:   Location:   Rochester            Southern Tier            Auburn  
                            Status:    Credit     Audit     Full Course     Half Course    1 Credit  
   Number and Title:

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SECTION IV:   FORMATION (COMPLETE IF APPLICABLE)

Location:         Rochester            Southern Tier            Auburn  
Ministry Reflection Group  Ministry Workshop  Spiritual Formation         Group

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SECTION V:  FINANCIAL INFORMATION

 Registration Fee        
 Total Tuition                                 
 Formation Fees                                               
 TOTAL OWED        
 Amount Paid:     Charge  $   

      
Select American Express Discover Master Visa
Acct #    Exp. Date:  Mo 01 02 03 04 05 06 07 08 09 10 11 12   Yr 03 04 05 06 07 08 09 10 11 12  
Name on Card:
              

         I receive financial aid  
         I have read St. Bernard’s Financial Policy and understand the terms 

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Fall 2007 Graduate Courses

A203       Introduction to Christian Scriptures (Heyman)

A305       Major Prophetic Writings (Premnath)

B/C321  Second Vatican Council (Stosur)

C226       Worship and Sacraments (Stosur)

C302       Theology of the Trinity (Hawkins)

C310       Catholic Social Thought (Hawkins)

D214       Spiritual Formation (Curtin)

D302       Pastoral Formation (Karaban)

D305       Ministering in Loss, Grief and Death  (Karaban)

D370       Cross-cultural Counseling (Karaban)

I515         Integrative Seminar (Hawkins and Schoelles)