Name
Address
City
State
Zip
E-mail Address



I am...

a High School student
a Saint Mary's student
other (Please specify: )



Please check all of the following that apply:

I am a prospective Saint Mary's student.
I am interested in a Religious Studies major.
I am just curious about the department.



Would you like a departmental brochure to be sent to the above address?

Yes
No


Would you like someone from the department to call you for additional information about the Religious Studies major?

Yes (Phone #: --)
No


Please use this space to describe any specific areas of interest not covered by the above.