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 NameLast Name
Student ID
Cell Number

Area CodePhone Number
Program

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

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:

Other
Will you also access your research laboratory on the same day
PI of research laboratory
Department
Please verify that you are human
Should be Empty: