Application for Collegian computer account

  • Application for Collegian computer account
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What goup will you be primarily working with
About You
For example: you prefer to be called Sam instead of Samantha or SamuelYou have 1 words remaining.
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Email address you want to receive Collegian related email on.
A telephone number we can call you on.
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Personally Identifiable Information
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This is the nine digit number on the front of your ID card that starts with 9You have 9 characters remaining.
Your Ethnicity and Race

We ask this information in order to fulfill any federal or state reporting requirements.

Your State College Area Address
Your Permanent Address

Once you graduate Penn State where should we post mail for you to?

Be sure to include any city, state, country, postal codes, etc.
In the event you are involved in an emergency or accident situation who should we contact?

Accidents happen and you could be involved in one while engaged in Collegian business.

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Submitting this form indicates acceptance of the policies and agreements below

You understand that you are not an employee of Collegian Inc., but a student member participating in a student activity at Penn State.

Submitting this form indicates acceptance of the policies and agreements below

As a condition of participation at Collegian you agree that Collegian Inc. has exclusive and unlimited copyright ownership of any materials so subject that you create or submit.

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