Brooks College of Health Professions - Request for Information

Thank you for your interest in Brooks College of Health Professions (BCHP)!

Please complete this form to receive more information about BCHP. Please don't hesitate to contact the Brooks College of Health Professions Office of Admissions at BCHPadmissions@trine.edu, by phone at (260) 800-8109, or by text at (260) 908-9923 if you have any questions.

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Student Contact Information

First Name*

Last Name*

Birthdate*

Mobile Phone Number*

Email Address*
(Please list a personal email address that you check regularly.)

Student Mailing Address*

Country

Street

City

Region

Postal Code

How would you prefer we contact you?*

Email

Phone Call

Text Message

When are you hoping to begin your program?*

Fall 2026

Spring 2027

Summer 2027

Fall 2027

Are you currently in high school?

Yes

No

Current High School Name (if applicable)

High School CEEB

Have you previously attended a college or university?

Yes

No

Current College or University Name (if applicable)

Academic Interests

What academic program are you interested in?

What nursing pathway are you interested in?

Pre Nursing

ASN

RN to BSN

Master of Science in Nursing

Have you completed a bachelor’s degree?

Yes

Currently Enrolled

No

Visit Information

I would like information about:

How did you hear about Brooks College of Health Professions?