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Membership Application
Although many of these fields aren't required, it does help us better understand the Penn State population that we serve. Please consider providing as much information as possible.
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Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
For Joint or Family Application, please provide the names of all other applicants. Single Applicants enter NA for Not Applicable.
*
Your answer
What type of membership have you decided on?
*
Free Membership for students and graduates of the last five years
Member of the Penn State Alumni Association w/ free membership in the local chapter
Not a member of the Penn State Alumni Association but paid member of the local chapter
Is this a new application or a renewal?
*
New
Renew without changes
Renew with changes such as joining the PSAA or new contact information
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