Student Information Student Name Student First Name Student Last Name Application Email Please list the email that you provided on your application to Penn State. PSU ID Parent or Guardian Information First Name Last Name Phone Number Parent or Guardian Preferred Email Interest in the PaSSS Program By checking this box, I indicate my interest in participating in the Pathway to Success: Summer Start program at Penn State Lehigh Valley. I understand that I must accept my offer of admission for fall 2022 by submitting the $230 enrollment fee to participate in PaSSS. I give Penn State Lehigh Valley my permission to change my starting enrollment semester from fall 2022 to summer 2022 so that I may participate in the PaSSS Program. I Agree Interest in Work Portion of PaSSS Are you interested in participating in the student worker portion (on-campus job) of the PaSSS program? Yes No Enrollment Fee Information Please note that neither your enrollment at Penn State Lehigh Valley nor in the PaSSS program is complete until you submit the enrollment deposit. I have already paid my $230 enrollment fee to Penn State for fall or summer 2022. I intend to submit my $230 enrollment fee online. Submit
Pathway to Success: Summer Start Penn State Lehigh Valley’s PaSSS program will provide you with tools and resources to increase the likelihood that you will graduate and earn your Penn State degree on time or early, potentially saving thousands of dollars in tuition and fees. Apply Today for PaSSS