PENNSYLVANIA INTRAMURAL & RECREATIONAL SPORTS ASSOCIATION
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PIRSA Extramural Staff Application
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PIRSA IM Leagues
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PIRSA Membership Form
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Extramural Work Team
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Scholarship Application
*
Indicates required field
Name
*
First
Last
Institution
*
Email
*
Phone Number
*
Year in School
*
FR
SO
JR
SR
Grad
# of Years working for Recreation
*
1
2
3
4+
Major
*
GPA
*
NIRSA/PIRSA Involvement
*
Please list any involvement you have had with NIRSA/PIRSA (outside of attending a conference)
Which NIRSA event were you looking to attend and why?
*
Please describe in 250 words what is the most important thing you hope to obtain at the conference.
Name of Reference
*
Reference's Email
*
Reference's Phone Number
*
Submit
Home
About
History
>
Leadership History
State Workshop History
Officers
>
Professional Staff Leadership Application
Student Rep Application
Bill Swan Award
Events
Virtual Roundtables
Championships
Host Site Application
PIRSA Extramural Staff Application
Payment Info
PIRSA IM Leagues
Committee
Information for Members
PIRSA Membership Form
Work Teams
>
Extramural Work Team
Member Engagement Work Team
Work Team Interest Form
PayPal Payments