Scholarship Dinner Student Response

As a recipient of a donor-funded Penn State Fayette scholarship, you and up to two guests are invited to attend the 15th Annual Scholarship Donor Dinner at 5:30 p.m. on Tuesday, October 21 in the Café 65, Community Center.

Please submit this response form no later than Friday, October 10 whether or not you are able to attend.

Student Information

Student Last Name:

Student First Name:

Penn State Email:

Will you be attending?

Yes

Guest Information

Number of guests who will be joining you?

Student recipients attend free of charge and can bring up to two quests at no charge.

Name of first guest:

Name of second guest:

Do you and/or your guests have any food allergies or dietary restrictions?

Yes

If yes, please indicate: