Online Alcohol Education Training Request Form

First name*

Last name*

BU identification number (BUID)*

BU email*

BU email only*

What is your date of birth?*

What sex were you assigned at birth on your original birth certificate?*

Student status*

Who referred you to complete the Alcohol Education Class?*

If you were referred by Student Activities Office, please list the full name of ONE student organization you are representing.*

If "other", who referred you to the Alcohol Education Class?*

What was the date of the policy violation, if applicable? (The date will be found on your decision letter)