Request for Information

We appreciate your interest in Trine University's ASN Program. Please use the form below to request information about our Associate of Science in Nursing Program.

* Denotes Required Fields

Student Information

First Name *

Middle Name

Last Name *

Preferred First Name *

Birthdate *

Email Address *

Address Information (Required)

Country

Street

City

Region

Postal Code

Cell Phone Number *

Enrollment Information

Type of Student:
Select First Year if you are still in high school and/or completed high school, but never attended college.
Select Transfer if you have ever enrolled in ANY college degree program after high school graduation.

Type of Student *

First Year Student

Transfer Student

Intended Academic Entry *

High School Information

Search for your High School

CEEB Code

High School Graduation Date *

High School Cumulative GPA *

Other Information

Do you have any college credits? Taken any college courses?

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No

How did you hear about Trine University? *

Please tell us how you heard about Trine University *

Request for Information - ASN