You must have JavaScript enabled to use this form. Your Name (required) Please select your organization (required) Nevada State College Kirk Kerkorian School of Medicine at UNLV UNLV School of Nursing Other Your Department (required) Your Email (required) Contact phone number (required) Please select the desired event (required) Lecture Large Lecture (More than 10 people) Skills Simulation Debrief/Meeting SP Surgery Skills What day would you like to use the room? Please use "YYYY/MM/DD" (required) What time would you like the activity? (required) Start time: End time: Please list any materials you would like the room, trainers, laptops, supplies (optional) Other information (ex. Subject, Class, Number of People, etc): (optional) Submit Leave this field blank