Request for Information

Thank you for your interest in graduate studies at Purdue University.

Please complete the form below to receive important information about graduate programs, funding, research opportunities, and student life at Purdue. We will not sell your information to any third parties.

Please note this form is not an application for admission. To apply for graduate admission to Purdue University, please complete the online application. Visit the Graduate Program Requirements page to review specific deadlines, requirements, and instructions for your program of interest.

*Indicates required fields
Personal Information & Mailing Address
Birthdate *
Purdue University requests this information for record keeping purposes only.
Street / P.O. Box / Apartment *
Term and Program Information
  • Residential – less than 20% online
  • Hybrid – 20%-80% online
  • Distance (online or off-campus location) – greater than 80% online
HybridDistance (online or off-campus location)
Current/Most Recent College or University
How did you first hear about graduate study at Purdue University?
(Choose one.)
Additional Information
The Graduate School is seeking voluntary veteran/service member self-identification information to assist Purdue in meeting the financial and outreach needs of veteran/service member graduate students.