Pathway to Purdue

Request Enrollment into Pathway to Purdue

Request to Participate in Pathway to Purdue

Please fill out the form below to request enrollment into Pathway to Purdue. All fields are required.

First Name: Last Name:

Address:

City: State: Zip:

Phone Number: ( ) -

Email:

Date of Birth: / /

Select the appropriate entry option:

I applied to Ivy Tech Community College - Lafayette and have been determined to be "program ready" for the Pathway program. I will (or have) completed a Purdue non-degree application.
I originally applied to Purdue - West Lafayette. I am asking Purdue to create a non-degree application with the information provided on my degree-seeking application.

I have read the information on the web site and understand my responsibilities for participation. I agree to allow Ivy Tech Community College - Lafayette and Purdue - West Lafayette to share transcripts and other application information.

Please insert your initials as a digital signature of authenticity:

Purdue University

Office of Admissions
Peg Wier
(765) 494-1271
email us

College of Agriculture
Anneliese Kay
(765) 494-8205
email us

Purdue
Financial Aid
dfacontact@purdue.edu
765-494-5050

Ivy Tech Community College

Office of Admissions
Claudia Suarez
(765) 269-5247
email us

Agriculture
Andrea L. Schwartz
(765) 269-5467
email us

Ivy Tech
Financial Aid
765-269-5200