ExCEL Request Form For:
- Clinical Skills Center/Standardized Patients
- Fresh Tissue Laboratory
- Simulation Center
*indicates a required field
- If a confirmation screen does not appear after clicking the 'Submit Form' button, the form has not been submitted.
ExCEL Contacts and Event Information
- For Clinical Skills Center and Standardized Patient questions, please contact Gina Shannon (email@example.com).
- For Fresh Tissue Lab and Simulation Center questions, please contact Kim Fugate (firstname.lastname@example.org).
- For IT/AV questions, please contact Jess Bowling (email@example.com).
- Space is not reserved until you have received a confirmation e-mail from an ExCEL staff member.
- All pertinent materials (cases in final form, checklists, student schedules, etc.) are due 3 weeks prior to your event. Any changes or cancellations within the 3 weeks will result in fees.
- Failure to submit your materials in a timely manner may result in your event being cancelled.
- By submitting this request form, you agree to payment of any fees, including late fees, from the SmartKey account or payment method provided: http://med.emory.edu/excel/resources/request-forms/osce.html
- By submitting this request form, you agree to abide by all SOM building policies and fees: http://med.emory.edu/excel/resources/building-use.html
Your form has been submitted.Clear