MSE Housing Request

MSE Housing Request

Welcome to MSE Student Housing for required attendance in Indianapolis.

IMPORTANT:

REQUESTS MUST BE SUBMITTED AT LEAST 2-WEEKS IN ADVANCE!

ONE REQUEST PER FORM: Even if the request dates are continuous, please submit separate forms for each request.

NO SPOUSES AND/OR PETS: MSE does not allow either animals or spouses / partners / family in contracted student accommodations.

LATE REQUESTS: Subject to room availability - should we not be able to accommodate your late request, you will need to arrange alternate housing on your own and at your own expense.

IU University ID #*

Last Name*

First Name*

IU Email Address

What is your HOME campus?*

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Phase*

Please select which Phase you are requesting housing.

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Phase 2

Please select the rotation/orientation for which you are requesting housing.*

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2-Week Rotation*

Select the date of your rotation.

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4-Week Rotation*

Select the date of your rotation. (Family Medicine, Neurology, & Psychiatry)

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4-Week Rotation Peds*

Select the date of your rotation.

Select

8-Week Rotation*

Select the date of your rotation. (OB/GYN, Pediatrics, Surgery & Internal Medicine)

Select

Orientation Date*

Select the date of your Internal Medicine orientation.

Note: Internal Medicine - although the orientation is 2-days, the first day of the orientation is virtual. The dates reflect the second day, which is in-person.

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OB/GYN & Surgery Orientation Date*

Select the date of your orientation.

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Transitions 2

Select the date of your orientation.

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Phase 3

Petition

Do you have an approved Petition?

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File Upload

Please include documentation if you are requesting housing for an APPROVED PETITION.

Drag and drop files here or

Please select the rotation/orientation for which you are requesting housing.*

You are allowed to request housing for either one required rotation or one elective rotation.

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What is the name of your elective?*

Radiology Rotation*

Select the date of your Radiology Rotation.

Select

4-Week Rotations*

Select the date of your rotation. (Critical Care, Emergency Medicine, Family Medicine, Internal Medicine, Pediatrics, Surgery & OB/GYN)

Select

Emergency Medicine Orientation Date*

Select the date of your Emergency Medicine Orientation.

Select

Transitions 3 (No Surgery)*

Select the date of your Transitions 3 (No Surgery) rotation.

Select

Transitions 3 - Surgery*

Select the date of your Transitions 3 rotation.

Select

Rotation START*

Enter the date of the FIRST DAY of the rotation. This is NOT the requested check-in date.

Rotation END*

Enter the date of the LAST DAY of the rotation. This is NOT the requested check-out date.

PLEASE READ

You may have ONE courtesy day for long stays which can be BEFORE the first day of the rotation.

Housing is not guaranteed between rotations that have several day gaps.

Check In Date*

Note: You may stay one-night PRIOR to the start date of the rotation/orientation.

Check Out Date*

You must check out ON or BEFORE the last day of the rotation/orientation.

IMPORTANT!

You MUST provide an EMERGENCY CONTACT with FIRST/LAST NAME & PHONE #.

We will not book your stay without this information.

Emergency Contact First Name/Last Name*

Emergency Contact Phone Number*

Phone

2025-2026 Housing Agreement. READ

The Trustees of Indiana University have agreed to pay the rent or occupancy charge for the residential real estate located at: Candlewood Suites, 1152 N White River Pkwy W. Drive, Indiana 46222 (‘Unit’),

I understand that there may be rare instances that housing may be secured by Indiana University School of Medicine (IUSM) Medical Student Education (MSE) at a comparable location if Candlewood Suites does not have room availability. Details about an alternative stay location will be provided when a confirmation number is issued for my stay.

I understand that I am responsible to adhere to the entirety of this agreement if housing is arranged for me through MSE for the requested period of housing, per the housing dates provided on the accompanying form, for the dates that I will occupy the space as a participant in an academic program administered by the IUSM. In exchange for this agreement, Occupant agrees to abide by the terms and conditions of a lease that the Landlord may require, Apartment Rules and Regulations and other attached documents in accordance with the terms thereof.

Occupant agrees to hold The Trustees of Indiana University, its agents, and employees harmless from any/all liability arising out of Occupant’s occupancy of the Unit, and the attached documents, except for the payment of the stated monthly rent and utilities. And to indemnify The Trustees of Indiana University, its agents, and employees for any and all costs, expenses, damages or any sum of any nature that The Trustees of Indiana University may incur as a result of Occupant’s use of the Unit or failure to comply with the terms and conditions of the Lease and related documents.

The agreement shall continue through the term of Occupant’s use of the Unit. Occupant acknowledges that failure to comply with the terms of this agreement could result in termination of Occupant’s relationship with Indiana University.

Occupant agrees to notify immediately, MSE of any actual or possible claims, damage or any other actual or potential breach of the terms and conditions of the associated lease and related documents.

I understand that personal guests are not permitted to accompany me during the arranged housing provided by IUSM MSE and that I agree to be housed in a double occupancy room with an assigned roommate, as determined by IUSM.

If you have transferred to Indianapolis after you requested housing, you will no longer qualify for the housing and MUST notify msehouse@iu.edu to cancel the housing request.

In the event of cancellation OR change of Check-In or Check-Out date, occupant MUST provide 24 HOURS NOTICE prior to check-in to either Candlewood Suites Medical District or Candlewood Suites Northwest and the statewide Housing Liaison, at msehouse@iu.edu.

Failure to do so will result in a ‘No Show’ status and will affect future housing eligibility through IUSM. Occupant further understands that a failure to check-in on the date requested or out (by 11:00 AM on my exit day) they will be personally financially responsible for paying the cost of any extra night(s) stayed.

Housing Agreement Acceptance*

I fully understand that by selecting the box below I have read and understood the Housing Agreement associated with my request to secure housing through IU School of Medicine, Medical Student Education.

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