Request Behling Human Simulation Center (BHSC) Event

Fill out this form in order to request an event in the Behling Human Simulation Center (BHSC).

Event Details

A short description to explain the nature of a ticket.
Is this associated with a JSMBS student course?
Is this associated with a JSMBS student course?
Will any non-JSMBS external equipment / food be required for your event?
Will any non-JSMBS external equipment / food be required for your event?

If you change your mind and require external equipment / food for your event, please notify us as we need 30 days notice to submit the applicable paperwork.

Will a vendor/product representative be involved with your event?
Will a vendor/product representative be involved with your event?

If you change your mind and require a vendor/product representative for your event, please notify us as we need 30 days notice to submit the applicable paperwork.

Will the vendor/product representative be interacting with the learners?
Will the vendor/product representative be interacting with the learners?
Will there be roleplayers?
Will there be roleplayers?
What Simulator(s) and/or Task Trainers will you require?
What Simulator(s) and/or Task Trainers will you require? (required)
Do you require the ASL 5000 (Simulates complex lung mechanics)?
Do you require the ASL 5000 (Simulates complex lung mechanics)?
Do you require LSUS (Laerdal SonoSim Ultrasound Solution)?
Do you require LSUS (Laerdal SonoSim Ultrasound Solution)?
Do cases need to be programmed for the simulators?
Do cases need to be programmed for the simulators?
If you need cases programmed for the simulators, please fill this out:
INSERT LINK TO DOCUMENT
Will your debriefing session require video to view the simulation experience?
Will your debriefing session require video to view the simulation experience?
Will you require recordings after the event? (Downloaded and exported video)
Will you require recordings after the event? (Downloaded and exported video)
Are you the department PI / cost-approver?
Are you the department PI / cost-approver?
Do you have a UB Blue Services / iLab Account?
Do you have a UB Blue Services / iLab Account?
IF YOU DO NOT HAVE A UB BLUE SERVICES / iLAB ACCOUNT:
https://www.buffalo.edu/administrative-services...

Simulation Material

I confirm that I will provide ALL finalized simulation material (e.g., case, debriefing guide, pre-work) at least six weeks prior to the event date.

I confirm.
I confirm.
File attachments associated with the ticket.
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Requestor Details

Other Fields

Your name
Verification Code