PaSSS Enrollment Application Form

Student Information

Name

Application Email

Please list the email that you provided on your application to Penn State.

Phone

Nine-digit Penn State ID

Address

City

State

Zip Code

Country

Parent Email Address

Parent or Guardian Information

Name

Phone

Fall Semester Housing

I am living on-campus in a residence hall

I am commuting from home

I am living in off-campus housing

For students living on-campus for the 2024-25 academic year: I agree to live in either Oak or Maple Hall for both the PaSSS program and for the 2024-25 academic year, and agree that this will override any conflicting preferences that I have provided in eLiving.

Enrollment Fee Information

Please note that neither your enrollment at Penn State Altoona nor in the PaSSS program is complete until you submit the enrollment deposit.

I have already paid my $230 enrollment fee to Penn State.

I intend to submit my $230 enrollment fee online.

CAPTCHA

Why PaSSS?

Please state why you are applying to the PaSSS program and how it will help you with your first year at Penn State Altoona. Please include any unique challenges you have faced for which the program could assist, whether personal, academic, or both.

PaSSS Enrollment Application Form

See Also