Texas A&M CLRC Event Request Form
To enter an Event Request, please fill out the following form.
Your Contact Information
First Name
Last Name
Email Address
Phone Number
Phone number extension
Company
Your Event Details
College, Course Catalog Name and Number, Event Name
Location
(Please Select One)
Select a location
BCS CLRC
DAL CLRC
FW CLRC Telesim
HOU CLRC
RR CLRC
Event Date
Start Time
End Time
Number of People
Detail any of the following: Additional Dates, Requested Rooms, Standardized Patients, Teaching Associates, Supplies, Manikins, Task Trainers, Case Documents, Additional Faculty/Staff associated with event (provide contact information)
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