Family Medicine Site Preference Form 2025-2026 Your BUID: Name: BU Email Address Block #:12345678Are you fluent or medically competent in a language other than English? Yes No If yes, what language? Would you prefer a site where language other than English are used primarily? Yes No Are you an active member of AMP? Yes No Will you have transportation available other than public transit for 3rd yr? (A car is required for Family Medicine rotation) Yes No Please choose the best response to describe where you are commuting from to get to BMC for your classes: North of Boston West of Boston South of Boston In the City Do you have strong preferences as far as the type of site you would like to be placed with? Yes No If yes, please provide details in the box below:Will you be in a traditional third year curriculum? Yes No If not, please explain as much as possible (splitting year, deferring a block, etc.) as well as the reason for a modification:What other information about your FM site placement would you like to tell us? Please be as specific as possible so we can find a good match!