PSU ID Database Entry Form
Please complete this form if you want your information included in the PSU ID Database.
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Prefix
Mr., Ms., Dr., etc.
First Name *
Last Name *
PSU eMail *
Please add your complete PSU eMail (e.g., xyz1@psu.edu). Do not use an alias.
GMail Address
Optional - Please include your non-PSU Gmail address if you wish to be contacted via that email for PSU-related information.
Business Telephone
Optional but recommended. Please include your business telephone number.
Position *
Please list your job title.
Personal Web Site
Please list the URL to your personal web site.
Work Unit Name *
Work Unit URL
Work Unit Address *
Mailing address. Even if you work remote, please include your home unit's mailing address.
College, Campus, or Unit *
Please select the most appropriate choice.
Other Location
Please complete this ONLY if none of the choices above are applicable.
Area(s) of Expertise
Please list any areas of expertise (related to Instructional Design) you would be will to share with others.
Submit
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