Room Request Form

Rooms scheduled through this system are limited to UCSD and Medical Center-affiliated events.
For more information, please contact av-rooms@ucsd.edu.
Please note that rooms are not reserved until you receive confirmation via email.

* = Required Field

Step 1. Contact Info

* First Name: * Last Name: * Phone: () -

* Email: * Department:

Step 2. Event Info

* Event Title:

Sponsor/Faculty Name:

* Start Date: (mm/dd/yyyy) * End Date: (mm/dd/yyyy) (if recurring, choose end date)

* Start Time: : * End Time: :

* Approximate Attendance:

* Is this a recurring event?
Yes No

Step 3. Room Request

Please note - Listed below are all of the rooms we schedule.

* First Choice:

Part A. Select Location: SOM Campus UCSDMC - Hillcrest UCSDMC - La Jolla

Part B. Select Room:
Check if this room is booked (opens is a new window) »

Second Choice:   (Optional)
   Part A. Select Location: SOM Campus      UCSDMC - Hillcrest      UCSDMC - La Jolla       None

   Part B. Select Room:
Check if this room is booked (opens is a new window) »

Step 4. AV Request

* Do you need AV equipment or services for this event?
Yes
No

Step 5. Additional Information

Medical Education Directory

MedEd Administration:

MedEd Offices:

MedEd Services: