Medical Student Room Reservation Request

This form is to be used by SMD medical students ONLY.

Departments and coordinators must submit a standard MRB & SRB Room and Service Request Form.

FAQs

Due to advisory dean meetings, students are not permitted to reserve rooms from 12-1 on Tuesdays, Wednesdays, and Thursdays unless advisory dean meetings have been cancelled.
Once a room request form is submitted, please allow for 24 hours for requests to be approved. You will then receive an email confirmation for you to ensure the accuracy of your reservation.
Fees do not apply for room reservations booked by medical students.
If needed, a limited number of self-service 6 ft. tables are available in the CEL Main Office (Rm. 2-7525). To reserve, please make a note of this in the form below. For other self-service items available through the CEL Office, see our Available Resources page.

Medical Student Contact Information Please select your current Medical Education Phase Year:

P1
P2
P3
P4

First Name:

Last Name:

Phone Number:

( ) -

Email Address:

Event Details

Name/Title of Event:

Date(s) of Event:

Event Start Time:

Event End Time:

Total Number of Attendees:

Space/Equipment RequestedRoom Preferred:

Enter "N/A" if no preference.

Equipment or Self-Service Items Requested:

Coordinated Services Required

If food is being served, students can avoid the environmental service cleaning fee provided the following occurs:

Furniture is returned to original set-up
Tables are wiped down
Trash is not left in the reserved room, but moved to the Student Lounge trash bins

Will you be serving food?:

YesNo

Additional Support Services:

For questions about additional furnishings or services, which may include fees, email the CEL Internal Events team.

Notes

Notes/Self-service Items:

The CEL Classroom and Scheduling Office is open Monday - Friday, 8 a.m. - 4:30 p.m., and is located in the Medical School, Room 2-7525.