Student Application - PIRSA - Pennsylvania Intramural and Recreational Sports Association

Student Scholarship Application

Name *

First

Last

Institution *

Email *

Phone Number *

# of Years working for Recreation *

1 2 3 4+

Major *

GPA *

NIRSA/PIRSA Involvement *

# of NIRSA National Conferences Attended *

Which NIRSA event were you looking to attend and why? *

Name of Reference *

Reference's Email *

Reference's Phone Number *

Submit