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Community Engagement and Events
Request Form
Your First Name
*
Your Last Name
*
Your Email
*
Your Phone Number
If you discussed with an iEXCEL staff member, please list here:
Organization Name
*
Number of Attendees
*
Requested Date
Month
/
Day
/
Year
Area/s of Interest:
Visualization Simulation
Clinical Simulation
Surgical Simulation
Human Simulation
App Development
Video Production
Research
Event Type
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Student Engagement (Attendees are undergraduate students or younger)
Community Event
Educational Event (UNMC students)
Space Rental - Davis Global Center
Will you be arriving in one bus or separate vehicles?
*
Please tell us more about your request. (For Student Engagement events, please include the attendee age range.)
*
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