Penn State Behrend Freshman Interest Groups

STUDENT INFORMATION:

First Name:

Last Name:

PSU ID:

Permanent Home Address:

City:

State:

Zip Code:

Phone:

E-mail:

Intended Major:

Gender:

Requesting Suite Style Housing:

FALL 2014 FIG SELECTIONS:













(engineering majors who are not
         technology based: civil, chemical, nuclear, architectural, mechanical, etc.)










I PLAN TO LIVE:




Penn State Erie, The Behrend College • 4701 College Drive, Erie, PA 16563 • 814-898-6000 • Toll-free: 866-374-3378
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