Dinner

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.