Senior Auditor

Senior Auditor Program Enrollment Form

Thank you for your interest in the Penn LPS Senior Auditor Program. If you would like to register for Fall 2025 classes, please begin by completing this form. Once the list of available courses is released in early August, you will be required to submit a Registration Request Form. Completing this initial form ensures that you will receive the Registration Request Form as soon as the course list is published. Please note that the Registration Request Form will only be made available to those who have completed this form.

First Name

Middle Name

Last Name

Email Address

Birthdate

Country of Citizenship

Sex

Please check one or more of the following groups in which you consider yourself to be a member:

Are you currently serving or have you served in the US Armed Services?

Yes

No

Are you the spouse or dependent of someone who is currently serving or who has served in the US Armed Services?

Yes

No

Address

Country

Street

City

Region

Postal Code

Mobile Phone Number
You will be subscribed to the UPenn Alert system.

Alternate Phone Number

Please provide the name of the school where you completed your highest level of education

Have you participated in the Senior Auditor Program before?

Yes

No

Are you a current or former Penn employee or faculty member?

Yes

No

Please enter your PennID (8 digit number)

Emergency Contact 📞

First Name

Last Name

Street Address

City

State

Zip Code

Phone

E-mail

Relationship

Program Name

Application Round

Application Submitted

Yes

No

App Submitted Date

Application Term

Summer 2025

Fall 2025

Spring 2025

Spring 2026