Biomedical LSEB Room Access Form

Disclaimer*

Agree
Disagree

If my card is lost or stolen I will notify the College Room Access Coordinator immediately. I understand that when I enter the area(s) listed below I will use the equipment properly, will check to make sure the door is properly closed and locked when I leave the room, and will not let anyone into the room or use my card.

First Name*

Last Name*

BUID*

Email*

Graduation Date*

Expiration Date*

Reason for Access

Status*

* If choosing "Other" please specify in comment section below

Type of Request*

Comments and/or Questions

Specific Room Requests

LSEB General Spaces

LSEB Outside Doors
LSEB Bike Room (Bailey, Lyman, Batista)
LSEB Door Connecting 36 to 24 (Bailey, Lyman)

LSEB Biomedical Engineering Spaces

LSEB 2nd Floor (Bailey)
LSEB 224 Boas Lab (Boas, Bailey)
LSEB 228 Economo Lab (Bailey, Economo)
LSEB 248 Mertz Lab (Bailey, Mertz)
LSEB B6A Staff Only (Bailey)

Biomedical Room Access

Specific Room Requests