BIOS Application form

Please complete the following form to apply to the BIOS 2019 program.
A $50 non-refundable deposit is required after acceptance to the program (this money will be applied toward your BIOS fee upon participation). Full payment (minus any financial assistance) will charged by the UMass Bursar.

This information is used for dorm assignments only.

Note: This 8-digit number can be found on the lower portion of your UCard or on your admission information.

Are there any allergies that we should know about? If yes, are there any details we need to know?

Do you require any special accommodations due to a disability?

Please supply the name and phone number of the person to contact in case of emergency.