Application Form

Boston University Medical Campus
Harrison Court Apartment Application 2012/2013
Please complete the form below and press the “submit” button. The information will be sent directly to Susan Trabucco.
Last Name:
First Name:
Email Address:
Date of Birth:
/
/
Boston University ID or Social Security #:
 
Current Address:
Street:
City:
State:
Zip:
Phone #:
 
Permanent Address (if different from above):
Street:
City:
State:
Zip:
Phone #:
 
Apartment:
Type of Apartment Desired:

Number of Occupants:

Intended Start Date:
/
/
Intended End Date:

/
/

For more information on apartment types and current rent rates, please
refer to the “rental rates” page.

 
Please enter additional information below:
 
Affiliation:
Medical School Graduate School School of Public Health
Dental School Current Resident Other
 
Please indicate your current status (degree and year / position):
 
Contact:
  Susan Trabucco
Email: susanbt@bu.edu  
Address: Harrison Court
Office of Rental Property Management
19 Deerfield Street, 1st Floor
Boston, MA 02215		 Phone: (617) 353-4101
Fax: (617) 353-3737
   
Primary teaching affiliate
of BU School of Medicine