Here is the form to submit for your residency request. Once complete, please email the form to

More information regarding the residency process can be found here.

If you have questions about this residency please contact the Residency Office

If you have any accessibility needs, please contact our office at (765) 494-7638.

Veterans Success Center, PMU 284/286, 101 N. Grant Street, West Lafayette, IN 47907, (765) 494-7638,

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