Enrollment Reply Form Student Information Name: First Middle Last Suffix Penn State ID number (9-Digit Number): Preferred Phone Number Preferred Email Address Enrollment Enrollment By checking the box, I indicate my interest in participating in the Pathway to Success: Summer Start program at Penn State Fayette, The Eberly Campus. If I have not done so already, I understand that I must accept my offer of admission to Penn State by submitting the $230 acceptance fees by the deadline. I authorize the University to change my starting semester from fall 2022 to summer 2022. Electronic Signature By signing my name in the box below, I agree to the conditions in this agreement. In addition, I affirm that the information shared on this form is true and correct. Reset Date Submit