Get Involved with the Kinesiology Affiliate Program Group

We want to hear about you—where you’ve been since graduation, what you do professionally, and what you have accomplished—in order to strengthen the Penn State Kinesiology alumni network. Old friends and new graduates want to stay connected and would love to hear how you have succeeded in your field.

Please complete the form below and submit it to us online—or you can print out the form, complete it, and mail it to us. Your submission may be edited for brevity and style. Personal information such as your address and phone number will not be printed. Your email address will only be printed with your permission.

Name*:

Current Address:

City:

State:

Zip Code :

Phone:

(XXX-XXX-XXXX)

Email Address*:

Permission to print Email Address:

Yes No

Is this a new address?

Yes No

Degree:

Class of:

My Employer is:

My Position/Title is:

Address:

 
Street
City
State
Zip Code

Phone:

(XXX-XXX-XXXX)

Internet Address:

Is this new employment information?

Yes No

Include a short paragraph with information about: Promotions, Honors, Marriages, Births, etc. (with marriages, include spouse's first name, maiden name; with births, include child's name)
Please limit responses to approximately 150 words or less.

Please include a short paragraph on how your KINES degree helped you get where you are today.
Please limit responses to approximately 150 words or less.