BCHP High School Visit Day

Wednesday, April 7, 2027 at 9:30 AM until 12:30 PMEastern Daylight Time UTC -04:00

Trine University - Brooks College of Health Professions
12817 Parkview Plaza Dr
Fort Wayne, IN 46845
United States

Visit Registration Form

*Denotes Required Field

Student Information

Student First Name *

Student Last Name *

Date of Birth *

Student's Email Address *

Student Contact Information

Country

Street

City

Region

Postal Code

Student's Cell Phone Number *

Parent's Cell Phone Number

Parent's Email Address *

Student's Educational Information

Search for your High School *

High School Cumulative GPA *

High School Graduation Year *

Student's Anticipated Enrollment Information

Student's Intended Academic Entry Term and Year *

Student's Expected Major *

Pre-Health Interest

Event Information

Number Attending (include student in count)

Special Accommodations

Where did you hear about this event?

Photo and Video Release

By clicking this box, I give permission that my picture and/or video may be taken during the visit day, and that it may be used for future promotional purposes.