PUCS Alumni Interest Form 
Continue to be a part of the PUCS family after graduation! Fill out the form below with your contact information and interest in participating in future PUCS events. 

*** Provide the best email/phone number to reach you after Penn (e.g. personal email)
Name (First & Last) *
Pronouns *
School & Graduation Year (e.g. CAS'21) *
Major(s) / Minor(s) *
Time Involved at PUCS (e.g. Fall 2021 - Spring 2023, if you were never a PUCS member please put N/A) *
Positions Held at PUCS (e.g. Outreach Chair, Member) *
Email (Personal email preferred) *
Phone Number (Optional)
Do you want to be contacted for future PUCS events? *
Additional Comments (e.g. current position/area of expertise)
Submit
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