Please complete (print or type) the Application for Residency in Oral & Maxillofacial Surgery, sign and date it. You may either mail to the OMFS Department or scan and e-mail to our residency coordinator by the October 16, 2017, deadline.


OMFS Residency Application form [PDF] [Word]


Mailing address:
CRMC – Deran Koligian Ambulatory Care Center
Attn:  Lynn A. Foote (OMFS Program)
Surabian Dental Center
290 N. Wayte Lane
Fresno, CA  93701


You may fill out the application online using Microsoft Word or, if you do not have access to Microsoft Word, an application is provided in PDF format.

For more information about the OMFS Residency program or status on your application, please contact the residency coordinator by phone or e-mail. However, e-mail is not a secure form of communication, so please do not submit private information through this site. Solicitations will not receive a response.


Lynn A. Foote, Residency Coordinator
Office: (559) 459-6927

Fax  (559) 459-3773