TrineOnline Information Request Form

TrineOnline has so much to offer you. View our digital brochure to learn what you can get out of an online degree from Trine University.

Fill out the form below and the Office of Admission will contact you to discuss your next steps and provide you with more information about your degree of interest.

Student Information

First Name *

Last Name *

Phone Number (Mobile Preferred) *

Email Address *

Preferred Contact Method *

Email

Phone Call/Zoom (live video chat)

Text Message

When is the best time of day to reach you? *

Morning (8AM -11AM)

Afternoon (12PM - 5PM)

Evening (5PM - 8PM)

Degree of Interest *

Select Start Term *

Would you like to provide TrineOnline with additional information about you so that we can give you more personalized materials?

How did you hear about TrineOnline?

By submitting this online form, I agree that the information I have provided is accurate. I grant Trine University permission to contact me via phone, email, and/or text messaging at the phone number and email address provided above. I understand that my consent is not required to attend Trine University and that if I would like to request information without providing consent, I may request information by contacting Trine directly at 877-701-3343 or at online@trine.edu.

Additional Information

Birthdate

Mailing Address

Country

Street

City

Region

Postal Code

Have you served in the United States Military or are you a military dependent? *