Military Services Residency Log
The purpose of this form is to gather information that will allow the Office of Military Services to report your residency participation in advance of your attendance.

Complete this form only if you wish to have your residency attendance reported to the VA.

Please note, you will not have the required information necessary to complete this form until two weeks prior to your residency start date when your residency session are made available in your student portal. Also, for virtual residencies, please be sure to include pre-work and post-work wrap up time as well.

As a reminder, if you do not sumbit this form, your residency participation will not be reported.
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  • Session Information

    Add the session title and date/time for each session attended at the residency.
  • Session Title
    Session Date
    For example:
    Demystifying the DBA Doctoral Study
    January 1, 2016
    1.5
  • Round up to the nearest half hour.
  • Session Title
    Session Date
    For example:
    Demystifying the DBA Doctoral Study
    January 1, 2016
    1.5
  • Round up to the nearest half hour.
  • Session Title
    Session Date
    For example:
    Demystifying the DBA Doctoral Study
    January 1, 2016
    1.5
  • Round up to the nearest half hour.
  • Session Title
    Session Date
    For example:
    Demystifying the DBA Doctoral Study
    January 1, 2016
    1.5
  • Round up to the nearest half hour.
  • Session Title
    Session Date
    For example:
    Demystifying the DBA Doctoral Study
    January 1, 2016
    1.5
  • Round up to the nearest half hour.
  • Session Title
    Session Date
    For example:
    Demystifying the DBA Doctoral Study
    January 1, 2016
    1.5
  • Round up to the nearest half hour.
  • Session Title
    Session Date
    For example:
    Demystifying the DBA Doctoral Study
    January 1, 2016
    1.5
  • Round up to the nearest half hour.
  • Session Title
    Session Date
    For example:
    Demystifying the DBA Doctoral Study
    January 1, 2016
    1.5
  • Round up to the nearest half hour.
  • Session Title
    Session Date
    For example:
    Demystifying the DBA Doctoral Study
    January 1, 2016
    1.5
  • Round up to the nearest half hour.
  • Session Title
    Session Date
    For example:
    Demystifying the DBA Doctoral Study
    January 1, 2016
    1.5
  • Round up to the nearest half hour.
  • Session Title
    Session Date
    For example:
    Demystifying the DBA Doctoral Study
    January 1, 2016
    1.5
  • Round up to the nearest half hour.
  • Session Title
    Session Date
    For example:
    Demystifying the DBA Doctoral Study
    January 1, 2016
    1.5
  • Round up to the nearest half hour.
  • Session Title
    Session Date
    For example:
    Demystifying the DBA Doctoral Study
    January 1, 2016
    1.5
  • Round up to the nearest half hour.
  • Session Title
    Session Date
    For example:
    Demystifying the DBA Doctoral Study
    January 1, 2016
    1.5
  • Round up to the nearest half hour.
  • Session Title
    Session Date
    For example:
    Demystifying the DBA Doctoral Study
    January 1, 2016
    1.5
  • Round up to the nearest half hour.
  • Session Title
    Session Date
    For example:
    Demystifying the DBA Doctoral Study
    January 1, 2016
    1.5
  • Round up to the nearest half hour.
  • Session Title
    Session Date
    For example:
    Demystifying the DBA Doctoral Study
    January 1, 2016
    1.5
  • Round up to the nearest half hour.
  • Session Title
    Session Date
    For example:
    Demystifying the DBA Doctoral Study
    January 1, 2016
    1.5
  • Round up to the nearest half hour.
  • Session Title
    Session Date
    For example:
    Demystifying the DBA Doctoral Study
    January 1, 2016
    1.5
  • Round up to the nearest half hour.
  • Session Title
    Session Date
    For example:
    Demystifying the DBA Doctoral Study
    January 1, 2016
    1.5
  • Round up to the nearest half hour.