Student Access – Entry into Baylor College of Medicine Main Campus

Student Access – Entry into Baylor College of Medicine Main Campus
Request must be submitted Monday – Friday by 2 p.m. at least one day in advance of the requested access date. Questions? Contact Jeanette Wiley or GSBS-Help@bcm.edu.
Name *

First Name Last Name
Student ID *
Cell Number *

Area Code Phone Number
Program *

Requested date of entry. (Minimum one day, maximum one week)

Date

Hours

Day One

Day Two

Day Three

Day Four

Day Five

Day Six

Day Seven

Anticipated duration of education/GSBS activity on campus
Example: 30 minutes, 2 hours, etc.
Faculty/person you will be meeting with *
Location (building and room number) *
Purpose of Visit to BCM Main Campus: *

Thesis Advisory Committee Meeting Qualifying Exam Thesis Defense Graduation Studying Meet with Graduate School Dean Meet with Program Director Meet with Program Administrator
Will you also access your research laboratory on the same day *

Yes No
PI of research laboratory *
Department *
Should be Empty: