Building Access Form

Card swipe access for physics buildings and special rooms.

Personnel type*
Name*
First Last
Email*
Have you ever received building access before in the past?*
BU ID #*
e.g. U12345678
Have you ever had your BU ID card replaced?*
- No, I've only had one BU ID card
- Yes, I've had multiple BU ID cards
How many replacement cards have you been issued?*
I require access to the following buildings/spaces*
Select all that apply
- Metcalf Science Building (SCI)
- Physics Research Building (PRB)
- Undergraduate Resource Room (SCI 122; undergraduate physics majors only)
- Other (please specify)
Please specify building and room number(s)*
If you don't know the room number, please provide a short description of the room.
Access End Date*
Please provide an estimated end date. For postdocs and visitors, this will be your appointment end date. For students, this should be your expected graduation date.
MM slash DD slash YYYY
Reason for access*
Please briefly explain why you are requesting access.
Authorization
Supervisor Name*
Supervisor Email*
Authorization
Supervisor Name*
Supervisor Email*
Authorization
Supervisor Name*
Supervisor Email*

Authorization