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First Name:*
Last Name:*
Address:*
City:*
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Phone:*
Email:*
Graduation Year:
School/Major:
Occupation:
Are you a current member of the Alumni Association?
Yes No
Would you like to receive Alumni Association membership information?
Yes No
We are always looking for a few good members, like you! If you know any alumni or Pitt parents that would make a great asset to our team, please provide us with their name and telephone numbers so we can tell them more about the PART program.
First Name:
Last Name:
Phone:
Status: (Check all that apply)
Alumni          Parent
Do you want your name published in the PART Directory?
Yes No
Are you a former Pitt Pathfinder?
Yes No
By entering your digital signature, you acknowledge the following: PART members could be expected to do any or all of the following activities: 1) visit a high school in your area to speak to students, administrative staff, or drop off recruitment materials; 2) attend a college fair or college night in your area; 3) attend on-campus recruitment programs; 4) be contacted by, or make contact with, admitted or prospective students, or their parents, from your area; 5) be contacted by fellow PART volunteers; 6) complete an online quiz regarding admissions policies and procedures once a year. I understand my commitment as a PART member.
Full Name:*
Date:	11/23/2009