PaSSS Enrollment Form

Pathway to Success: Summer Start (PaSSS)

Enrollment Reply Form

First Name

Last Name

Penn State ID Number (9-Digit Number)

Preferred Phone Number

Preferred Email Address

Enrollment

Indicate your interest in participating in the program

By checking this box, I indicate my interest in participating in the "Pathways to Success: Summer Start" Program at Penn State New Kensington. 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 no later than June 1. I authorize the University to change my starting semester from Fall 2022 to Summer 2022. Additionally, students participating in PaSSS will attend New Student Orientation (NSO) in June. NSO is where students meet with an academic advisor to schedule both PaSSS Summer 2022 and Fall 2022 classes.

Electronic Signature

By entering my first and last name in the box above, I agree to the conditions in this agreement. In addition, I affirm that the information shared on this form is true and correct.