Pathway to Success: Summer Start (PaSSS) Enrollment Form

Enrollment Reply Form

Student Information

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Penn State ID number (9-Digit Number):

Preferred Phone Number

Preferred Email Address

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 2021 to summer 2021.

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.

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