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Request Form

ExCEL Request Form For:

  • Human Simulation Education Center (3rd Floor of School of Medicine)
  • Simulation Center (Basement of the School of Medicine)

Contacts

  • For Human Simulation Education Center questions, please contact Gina Shannon.
  • For Simulation Center questions, please contact Kim Fugate.
  • For IT/AV questions, please contact Steven Benitez.

Event Information

  • 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. 

Please fill out the form below and submit:





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