CSCLV Room Request

Your Name (required)

Please select your organization (required)
Nevada State CollegeUNLV - School of MedicineUNLV - School of NursingOther

Your Department (required)

Your Email (required)

Contact phone number (required)

Please select the desired room (required)
ClassroomLarge ClassroomSkills LabSimulation RoomDebrief RoomSP Area

What day would you like to use the room? (required)

What time would you like the activity? (required)

Start time: 010203040506070809101112 mins 000102030405060708091011121314151617181920212223242526272829303132333435363738384041424344454647484950515253545556575859 Am/PM AMPM


End time: 010203040506070809101112 mins 000102030405060708091011121314151617181920212223242526272829303132333435363738384041424344454647484950515253545556575859 Am/PM AMPM

Please list and materials you would like with the room, trainers, laptops, supplies (Optional)

Other Information (ex. Subject, Class, Number of People, etc): (optional)

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