Follow the steps to complete the form successfully.

1. Use the ‘Get Form’ button to acquire the form, allowing you to access it in your preferred online editing tool.
2. Enter the 'Date of Submission' in the specified field to document when you are submitting the request.
3. In the 'Requested By' section, fill in your 'Contact Information', including your name, phone number, and email address.
4. Provide details about the 'Event Coordinator' and the 'Faculty/Instructor of Record' by listing their names.
5. Indicate the 'Official Event Title' and specify if this is a 'New Event' by selecting 'Yes' or 'No'.
6. Fill in the 'Cost Center' and the 'Date(s) and Time(s) Requested' for your event.
7. Outline any 'Equipment Needs for Course' in the designated section to ensure the necessary materials are available.
8. Select the 'Setting for Event' by choosing options such as Adult, Pediatric, or Low-Fidelity/Task Trainer.
9. If applicable, provide a reason for your request in the section for non-educational events.
10. List the 'On-site Coordinator(s)', making sure to designate one if your event includes more than 15 learners or two stations.
11. For educational activities, complete the sections for 'Target Audience', 'Anticipated Number of Learners', 'Learner Level(s)', and 'Course Agenda' detailing station topics.
12. Provide a 'Brief Course Outline' and detailed 'Learning Objectives' to clarify the goals of your event.
13. Indicate how learners will receive feedback and be assessed by selecting from the provided options.
14. If your event involves high-fidelity patient simulation, complete the 'Simulated Patient(s) Request' and 'Scenario Stem' sections.
15. Once you have filled out all sections of the form, review your entries for accuracy, then you can save changes, download, print, or share the completed form.

Take the next step in organizing your event by completing the UC Davis Health Course Or Event Request Form online today.