Penn State Affiliate id+ Card

Affiliates support the University’s core functions and range from wage payroll employees to visiting professors and scholars. Departments may request a Penn State Affiliate id+ Card for individuals who have relationships with the University outside of traditional full-time employment. Please reference Policy AD24 to learn more about the eligible appointment types.

Webform

Cardholder's Information

PSU ID Number

PSU Access ID

First Name

Middle Name

Last Name

Birth Date

Campus

Appointment Information

Check Appropriate Box

Eligibility End Date

Sponsoring Department Information

Department Name

Requestors PSU Access ID

Requestors Name/Title

Requestors Phone Number

Questions may be directed to [email protected].