Daily Pennsylvanian Staff Registration

Welcome to the DP!
(and why you need to fill this out)

Before you can write a story, shoot a photograph, sell an ad, hand out a paper, or do ANYTHING for The Daily Pennsylvanian, 34th Street, UTB, or any of our print or online publications, you must complete this staff registration form and license agreement. This allows us to put you on appropriate staff contact lists and email listserves; it allows us to maintain a record of your work here for future job references — and to invite you to our annual staff banquet! And the license agreement allows us to publish your work.

About you

Name * First Last

Nickname

What you prefer to go by

Pronouns *

School *

College
Wharton
Nursing
Engineering

Graduation Year *

Photo of you

Headshot please!

Your contact information

Primary Email Address *

This email will be used on all Daily Pennsylvanian listservs.

Secondary Email Address *

Cell Phone Number *

Home Address *

Don't forget to include country if outside US.

Parent or Guardian contact information

This person will be contacted in case of emergency.

Parent/Guardian Name *

Parent/Guardian Phone Number *

FOR NORTH AMERICAN phone numbers: type only 10 digits, or 999-999-9999 (no spaces, parentheses, or other characters).
FOR OTHER COUNTRIES: begin with + and country code

Parent/Guardian Email Address *

Wufoo

Welcome to the DP! (and why you need to fill this out)

About you

Your contact information

Parent or Guardian contact information

Welcome to the DP!
(and why you need to fill this out)