Simulation Center Use Request
 | Please provide the following information for use the Simulation Center for an Approved Activity. If your simulation activity has not been approved, please complete an Initial Simulation Activity Development Form. |
Name of Approved Activity: _________________________________________________________________
Person Making Request: ____________________________ Date of Request: ________________________
Phone: _________________________________________ Email: ___________________________________
List all Dates and Times requested, along with number and types of rooms and simulators. Please indicate whether or not a Simulation Specialist is required for each date and time. (Use additional Sheets as necessary)
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Time |
Type of Room |
Number of Rooms |
Simulator(s) |
Number of
Simulators |
Sim
Specialist
needed? |
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Notes:
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