Contact Us

714 N. Michigan Street South Bend, IN 46601 574.647.7913 Email

Mission & Values 

Program Size

27 Residents (9 per year)

About South Bend

City Size: 101,860 southbendin.gov visitsouthbend.com

Online Virtual Request Form

Virtual Connect Request for Memorial Hospital

This is a request to meet online in a virtual setting. It is not an interview.
  • Personal Information

  • Education Questions

  • Date Format: MM slash DD slash YYYY
  • Program Questions

  • For each of the dates below please indicate the preferred time of day you would like to meet.

  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Please click the button below to submit your form.

Contact Us

714 N. Michigan Street South Bend, IN 46601 574.647.7913 Email

Mission & Values 

Program Size

27 Residents (9 per year)

About South Bend

City Size: 101,860 southbendin.gov visitsouthbend.com