Membership Application
WE ARE the Hampton Roads Chapter of the Penn State Alumni Association! Our goal is to promote and support The Pennsylvania State University and serve our community. Local chapter dues are separate from dues to the Alumni Association. The 2020-2021 Membership will run from July 1, 2020– June 30, 2021. For more information, please visit out website at:

If you are interested in sponsoring the chapter, please apply here:
Membership *
First Name *
Last Name *
Email Address *
Street Address *
City *
State *
Zip *
Phone *
Additional Email Address
Graduation Year
Current Occupation
How did you hear about us?
Clear selection
If you were encouraged to join by a current member, please type their name below.
What Type of Events are you interested in attending?
Which committee(s) best fit your talents?
Are you a member of the Penn State Alumni Association?
Clear selection
Membership Type *
Additional Scholarship Donation
We have a scholarship opportunity for 757 students at Penn State.
Care Package Sponsorship
We mail care packages to local students each semester. This sponsorship will defray chapter costs for content and packaging supplies
Total $ to be submitted via PayPal ( or Mail (check made out to Penn State Hampton Roads to our Treasurer, Alan Keller at 4 Zilber Ct. Hampton VA 23669)
Membership + donation + care package donation
Does your employer match your charitable contributions?
If yes, please provide employer name, address, and phone below.
Join Us on Social Media
Facebook: Penn State Hampton Roads
Twitter: @PSUHamptonRoads
Instagram: @PSUHamptonRoads
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