G.O. Penn Access Request Form First Name: Last Name: E-mail Address: Penn Affiliation:
Alumnus Faculty Staff No Penn affiliation For Alumni Only: Grad Date: School: Reason for requesting access: For Faculty & Staff Only: School/Center: Department: Reason for requesting access: For Non-University Guests Only: Reason for requesting access: If you have questions regarding the G.O. Penn database, please contact Rodney Robinson in the Office of Student Affairs at 215-898-5339 or email rodneyr@upenn.edu.
Alumnus Faculty Staff No Penn affiliation For Alumni Only: Grad Date: School: Reason for requesting access: For Faculty & Staff Only: School/Center: Department: Reason for requesting access:
For Non-University Guests Only:
Reason for requesting access: If you have questions regarding the G.O. Penn database, please contact Rodney Robinson in the Office of Student Affairs at 215-898-5339 or email rodneyr@upenn.edu.