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Reserve Simulation

iCELS works with each client, customer, faculty and learner to create the highest fidelity simulation event to meet your educational goals & objectives. Please complete the online form below to register your request of a customized simulation session with iCELS.

An iCELS team member will contact you within two business days of receiving the request. If you need immediate assistance, please email: icels@umassmed.edu

After initial contact, our team will suggest a follow-up meeting to discuss details of your request.

Our goal is to provide you with optimized services.

Simulation Program Request Form

Course/Event Name

Last Name

First Name

Title

Department/Division/Organization Name

Phone

Event Date

(1)Alternate Date

Additional Dates (list)

Preferred Start Time

Duration of Event

Describe the Simulation Activities

Will you need to create scenarios?

Number of Learners

E-mail

Knowledge of the policy By checking this box, as the contact person for the event, I attest that I have read the iCELS policy regarding safety and infection control. (link blow). I also agree to inform faculty and learners who will be attending the event of the policy.

The iCELS policy regarding safety and infection control.

Reserve Simulation

Simulation Program Request Form

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