Trine University Office of Student Retention - Textbook Assistance Request Form

Trine University Textbook Assistance Request Form

Please complete the following form to request financial assistance for textbooks and course materials.
Name*

First NameLast Name
Student ID Number:*
Phone Number*
Please enter a valid phone number.
Trine Student Email*
example@my.trine.edu
Major:*
Class Standing:*

FreshmanSophomoreJuniorSenior
Which semester are you requesting books for?*

Fall 2025Spring 2026Summer 2026
Please list the courses you need textbooks or materials for. If you need textbooks/materials for all of your classes, please type "ALL." *
Do you need to borrow a laptop?*

Yes - For the full semesterYes - For part of the semesterNo
Do you need to borrow a calculator?*

Yes - Graphing calculatorYes - Scientific calculatorYes - Not sure what kindNo
Financial Information
Did you have to take out a loan for the semester? (For tuition, room and board, etc.)*

YesNoI tried to take out a loan but did not qualify and/or did not have a cosigner
If you did take out a loan, what type is it?*

Public (Subsidized, unsubsidized, Parent PLUS, etc.)Private (Sallie Mae, Discover, SoFi, etc.)Public and privateI don't knowI did not take out a loan
Where do you live?*

On campusOff campus (apartment, rented house, etc.)Sorority or fraternity houseWith parents
Do you have a meal plan on campus?*

YesNo
Agreements and Return Requirement
I understand that this form is a request for assistance and does not guarantee eligibility.*

I agreeI do NOT agree
I understand that I may only be able to receive $600 of assistance total during the calendar year (January 2025 - December 2025).*

I agreeI do NOT agree
Student attendance is monitored via the We Care system. I understand that if I miss more than 20% of the class(es) that I receive assistance for, I may be ineligible for assistance in future semesters. This not not include excused absences.

I agreeI do NOT agree
RETURN REQUIREMENT - I understand that any physical books or electronic equipment I receive must be returned no later than Friday, December 12th. I understand that not returning these will make ineligible for future assistance.*

I agreeI do NOT agree
Signature- Please sign form below*

Clear
Today's Date*

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Date
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Trine University Textbook Assistance Request Form

Financial Information

Agreements and Return Requirement