Name * Penn State ID # * Email Address * Cell Phone # * Yes! I would like to enroll in the 2019 PaSSS (Pathway to Success: Summer Start) Program at Penn State York. I have paid my $230 acceptance fee to reserve my place as a first-year student at Penn State. * Yes I understand that arrangements for paying the balance of my tuition must be completed by June 22, 2019. (Questions regarding tuition bills should be directed to the Bursar’s Office at 717-771-4122.) * Yes I understand that if I want to be considered for summer student aid, I will need to file a 2018–19 FAFSA by June 7. This form is in addition to the 2019–20 FAFSA I may have filed for fall 2019. * Yes I give Penn State York permission to change my starting enrollment semester from fall 2019 to summer 2019. * Yes I agree to participate in PaSSS program activities Mondays–Thursdays, 9:00 a.m.–2:00 p.m., June 26–August 9, 2019. * Yes I accept enrollment in the following courses: ART H 112 and CAS 100B, for a total of 6 credit hours. * Yes I agree to attend mandatory PaSSS Program Orientation on Monday, June 24 from 9:00 a.m.–12:00 p.m. * Yes I understand that Penn State York does not offer on-campus housing, and that it is my responsibility to obtain housing in the area over the summer. * Yes Explore off-campus housing options located near campus by visiting our Off-Campus Housing page. I am interested in pursuing the job opportunity associated with participation in the PaSSS program, and agree to obtain the necessary background checks prior to starting work. I understand that prior to accepting a job opportunity on campus, I am required to complete three background checks. * Yes No
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