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 event (required)
LectureLarge Lecture (more than 10 people)SkillsSimulationDebrief/MeetingSPSurgery Skills

What day would you like to use the room? Please use "MM/DD/YYYY"(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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