PDHS Membership Application

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Please fill out this form to become a member of PDHS for the 2021-2022 Academic Year.

If you are a Temple Student, we ask that you use your Temple E-mail to fill out the form!

NOTE: You must complete this form if you would like to continue receiving emails from PDHS regarding meetings, community service opportunities, and announcements.

Email *

Name (Last, First) *

TU ID Number *

Class Standing *

Freshman

Sophomore

Junior

Senior

Shirt Size *

XXL

Have you paid your dues yet? (Note: Dues are $30 for the year / / Venmo: templepdhs) *

Yes

Are you an ASDA Member? *

Yes

Are you in the 3+4 Accelerated Program?

Yes

Clear selection

Phone Number

Submit

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