Application for Residency

We welcome you to fill out an application to apply for placement on our waiting list. Please follow the instructions below to submit your application. We look forward to meeting you!

Application Instructions

1. Open the appropriate forms
2. Fill in your information & print the form
3. Send your signed application to the address to the right.

If you have any questions you may contact:

Beverly Wallace
765-463-9586
or send an email to: bwallace@fhcindiana.com

Completed applications should be printed, signed and mailed to:

Friendship House Community
c/o Beverly Wallace, Property Manager
1010 Cumberland Avenue
West Lafayette, Indiana
47906

*You cannot be added to the wait list if your application is returned incomplete*

General Application Forms

Both forms are required

Section 202-8 Forms

Required if under age of 62. Must also complete residence application forms

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