Course/Lab Request

Contact Information and Event Details

Requester Name*
Company Name and Division*
Email Address*
Phone Number*
Course Title*
Course Description and Summary of Procedures*
Estimated Number of Attendees:*
Reserved Parking:

Event Date #1

Method(s) of Training

Lab Imaging

All Imaging must comply with UCSD's Anatomical Policies. Please download and submit the Anatomical Material Use Agreement form.

Addition A/V Needs
Upload Agenda: (Max file size 10MB)
Upload Agreement Form: (Max file size 10MB)

PLEASE NOTE: This form will be used to assess space availability. You will be contacted by an Event Coordinator to confirm your date(s).