Pitt PAL Request Page

(*) denotes required information.
First Name: *
Last Name (Family Name): *
Nickname or English name you are called:
PSU ID #:
I am: *: An international student seeking a local Pitt State Pal
A domestic student seeking an international Pal
Gender: *: Male Female
Age: *
Current Address
Street 1: *
Street 2:
City: *
State: *
Zip Code: *
Home Country: *

Phone Number: *
Email: *
In order to contact me, I want my Pal to receive my: *: Email Address
Phone Number
Countries You Are Interested In: *
I am:: An undergraduate Student
A graduate Student
An Intensive English Program student (IEP)
What is your major course of study? *
Please list your hobbies and interests:
Please make any additional comments:
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