PITT Pal Sign-Up Form (*) 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: * Select a State Alaska Alabama Arkansas Arizona California Colorado Connecticut Washington D.C. Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missourri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming 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: What does this image say? (click play button to hear the captcha)