Student Application - PENNSYLVANIA INTRAMURAL & RECREATIONAL SPORTS ASSOCIATION

Student Scholarship Application

* Indicates required field

Name *

First

Last

Institution *

Email *

Phone Number *

# of Years working for Recreation *

1 2 3 4+

Major *

GPA *

NIRSA/PIRSA Involvement *

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

Name of Reference *

Reference's Email *

Reference's Phone Number *

Submit