The Roundtable - Social Action Summer Institute Registration Form

National Pastoral Life Center - Home Page

Social Action Summer Institute

The Roundtable Association of Diocesan Social Action Directors

2007 Social Action Summer Institute

Marquette University
1217 W Wisconsin Ave
Milwaukee, WI 53233
July 15-20, 2007

R E G I S T R A T I O N F O R M

Instructions:

Currently we do not offer direct online registration. Registration form (and the check) should be mailed or faxed to the address below. However, we are trying to make your registration as easy as possible. Fill the form and click on the "Finish" button. This will create a printable form, that you can print and mail or fax to us.

If you need assistance with filling out this form, call Jeff at our Social Action Summer Institute Help Line: (212) 431-7825.

Address and Contact Information:

Name:

Office/Other:

(Arch)Diocese:

Address 1:

Address 2:

City:

State:

Zip Code:

Phone:

Fax:

E-mail:

Are you a JustFaith Graduate? Yes No

I have a disability which makes it difficult for me to walk to
and from university buildings. Please contact me to discuss. (check if applicable)

I will attend:

SUNDAY -- TUESDAY
	Track I: Foundations of CST - for parish, diocesan, and national organization leaders (Sun-Tue)
	Track II: Climate Change/EcoJustice - for diocesan and national leaders (Sun-Tue)
WEDNESDAY -- FRIDAY
	Diocesan/National Organizations Skills Track (Wed-Fri)
	Parish Leaders Skills Track (Wed-Fri)
	Not Applicable

Room Preference:

If you selected "Share Room With:", indicate in the space below.

Payment:

Scholarship

Participating organizations have set aside a limited amount of funds to help with the costs of attending the Summer Institute. See SASI main page for details.

Make check payable and mail registration form to:

THE ROUNDTABLE
Attn: Aida Rodriguez
18 Bleecker Street
New York, NY 10012
Fax: (212) 274-9786
E-mail: roundtable@nplc.org

Please register by June 22.
Housing cannot be guaranteed after this date.

Personal data on this form is not encrypted. However, nothing is send to us or web server. Entered data will persist on your computer only as long as you are visiting this website.
See our Privacy Policy

^ Top of the Page

- - - - - -
- - - -