U.S. students
: To submit your enrollment and/or housing deposit on-line, please complete the form below. The confirmation deposit is $150 and the housing deposit is $150 for a combined total of $300. For international students please deposit $500 for the international fee and $150 for the housing deposit if living on campus.

Items in bold must be filled in before you can submit the form.

Student's Name
Student's Social Security Number
Home Phone
E-Mail
Payment For:
Amount (US currency)
Name on credit card
Card Holder Billing Address
Card Holder Billing City
Card Holder Billing State
Card Holder Billing Zip Code
Choose Credit Card Type
Credit Card Number(Number Only - No Dashes)
Credit Card Expiration Date(mm/yy Format)

Note: The information submitted on this form is protected by a secure server and is encrypted between the server and the Office of Admission. Follow the privacy link to learn about our privacy policy.

If you have questions, please call the Office of Admission at (260) 665-4132 or (800) 347-4878 or e-mail admit@trine.edu