Basic Information

Thank you for completing this form before the deadline of May 20, 2025. Your work will not be saved if you leave this section before submitting your response. You may only submit this form once. If you have any questions, please be in contact.

BUTI Student Life Forms 2025 - Electronic Submission Section 1: Basic Information

* required

Identification Code*

Please enter the 7-digit number provided to you in your email notification. If this cannot be found, please email: tanglewd@bu.edu. This number is also your AppID from the Acceptd Application.

You cannot complete this form without this number.
Student Name (as it appears on a Government Issued ID)*
First Last
Student Email Address*
Enter Email Confirm Email
Student Cell Phone Number*
This number allows BUTI to contact a student in the event of an emergency and will be linked to Boston University's Emergency Text Alert System.
Emergency Contact Name (Other than Parent or Guardian)*
First Last
In the event of an emergency, we may contact this person if we are not able to reach a parent or guardian.
Emergency Contact's Phone Number*
School or university you will be attending in Fall 2025
Are you requesting to live Off-Campus?
You have selected an option that requires approval from BUTI Administration. If you have not yet received written permission, you must receive confirmation by emailing the Manager of Enrollment and Student Engagement at:

tanglewd@bu.edu

or call 617-353-3386.

If you do not have permission granted, please select that you will be living on campus and complete the rest of the form; otherwise, please enter the address you have been approved to live at in the box below.
Approved Address:*
Please enter only your approved address while attending BUTI.
This section assists BUTI when assigning you a room and a roommate for the summer.
Requests to room with a specific person must be mutual and listed on BOTH you and your requested roommate's Preferences Forms in order to be considered. We will attempt to honor specific roommate requests that are mutual, but we cannot guarantee these requests. As assignments are made well in advance of student arrivals, last-minute requests cannot be accommodated.

Under no circumstances may individuals who are dating room together.
Are you requesting a specific roommate?*
- No, I am not requesting a specific roommate.
- Yes, I am requesting the following roommate.
Requested Roommate's Full Name*
First Last
Requested Roommate's Workshop Program (June 22)*
Requested Roommate's Young Artist's Program (July 6/July 27)*
Any other pertinent information regarding your Specific Roommate Request?
Please select the most accurate answer in each of the following pairs or groups that best describes your interests. Feel free to include any other information you would like to be considered when assigning you to a room and roommate(s). As your responses here are only part of the roommate-matching process, we cannot guarantee all preferences will be considered when assigning your roommate.
Preference of Bedtime*
Preference of Cleanliness*
Preference of Roommate's Instrument*
Additional Information that should be considered when assigning your room/roommate(s).
(e.g. special interests, hobbies)
Do you need to request a single room for a medical reason?
Roommate Preference Confirmation*
I have provided my Roommate Preferences and understand that BUTI cannot guarantee every request is met when making roommate assignments.
Email address you would like your confirmation email sent to:*
Enter Email Confirm Email

A confirmation email summarizing your submitted information will be sent to this address.
Email
This field is for validation purposes and should be left unchanged.