Request for Information

We are collecting this information to allow our admissions department to contact you and provide you with the information you have requested. When you complete this request for information form, someone in the Admissions Department will contact you with 2 to 3 business days.

Please consult our privacy policy for further details.

Note: Fields with asterisk (*) are required information to help us assist you.


First * Middle Last *

Are you a returning applicant or student?     *

Address Information
Street Address
City/State/Zip ,

Contact Information
Primary Phone No: *
Mobile Phone No:
Does this number receive SMS messages?
Do you consent to receive SMS messages?
Primary Email: *
Confirm Email: *

Are You a US Citizen? *


Do you have a High School Diploma or GED?
If yes, was this diploma issued in the United States? *
Graduation Date

Schedule Preference *
Some academic programs might not be available during nights or weekends.
Each semester, availability is determined by the number of students enrolled in each program.

Gift Code:          

Desired PIT Program
Degree Optional (Select First)

Program Optional (Select Second)

Referral Information

Referred by:

Additional Comment: (limit 1500 characters)

Did you speak with an admissions rep?


- Pennsylvania Institute of Technology • Non-Discrimination Disclosure