Instruction 5110 - Uniformed Services University of the Health ...

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REQUEST FOR USE OF USUHS FACILITIES Enclosure 8 Athu:hment l Con(trence and Lecture Room Reguest ONL~ TODAV'S DATE: PLEASESENDREPLYlliRU.MAIL D PLEASESENDTOSTUDENT M-BOX D IWJU.PICI
REQUEST FOR USE OF USUHS FACILITIES Laboratory Request ONL V Enclosure 8 Attachment 1 Date ol Request FROM: Spollllor PLEASE PRINT AND PRESS FIRMLY . ~ I PLEASE SEND REPLY THRU MAIL D I WILL PICK·UP REPI.. Y D . , [)epartment..'Ocganlzalio11 ,. . •_t ..., .. .. I . ~ l - .. • . ·~· . ,. «Jo.~,_; :. - .._ ~;.V'"t-C't""f ~ "!! . ~· ~ ~ ,: :; , ;:_,~ • I I >-c :"' : '"' :- :: ~ . :.: ~. _,..,. • '-+--1 f• .. .......:~·..; ._ h ... " ' . ~· "! {1:1l. 11tlfi andiO• Purpoi e o1 Meeting • ·~ -~ ~ ~~t;~· •• •"l:'f~ B .... ;.y . {"; ! ..... !.~·'::-;.;;i~~~~ ..... :"·. ~;~· "' ·~ · k 11'· -~.u.~ •t·ra'· •· • ; 4" • ·' a e + < ~ REQUESTS PROCESSED AT 1000 AND 1400 HOURS DAILY Number ol Artendii&S " '.,....... ~~..:._ !.,.. ~ ~-· -" "' ~· . : -· . ~ ....... 0 0 Modicru Student Taaching f lit•;,: ·~ 1 '"' ~, t Gredua1e Student Tuching [j •.• .o .... ......,:-:-·r; ~: ;-:.·.....; ... . t • ~ -... 'f!·oe yr~~ ~~!~ ..... )d :-; ~· -·., .,. ... ~:;.;.~ .;~ .. ~, ::;.._~.:;:"':O:...;""' "· ...... ~ .~ ~ ·:-::.-: :. .. ~·;, DATE REQUESTED CONFIRMED tl LAB REQUESTED (ONE DATE PER LINE) STARnNG n~: COMPLETION TIME (~L USE ONLYI - O<strong>the</strong>r ( ...? -~· 1 ...... ~ "' ,.,.,~ •. -:: . :~ n'~.:. .. "f ~~ ~ ~: 7;~ -- ~~-~~~~ ~t!X·; t ~!~'~'!=~ - ~~~ ! : .~·- if o~ ... d(ff r-i ~ .. b •• 1 ,..-.·!'J l!: ~li.O;.. :o .'•···~·:-·•--~w a t 1ona a s .~ .., ......... d. • ;. feu""·-:'"'" I' - ••• ,...... .,.t LAf3 EQ!JIEM~I':.H BEO!JIBED: . - .. '~'·'": : ."':t' ~••-c·• - Dale Data USUI--iS Form •11 t (MDL)fHY90) White: SPONSOR: Pink: MOL: Yellow: AV (MOL): Blue: SECURITY
Page 1 and 2: UNIFORMED SERVICES UNIVERSITY OF TI
Page 3 and 4: familiar with Lhe type of equipment
Page 5 and 6: to include security, p3Ikiug, janit
Page 7 and 8: Enclosure 2 lllt FJNfTIOr\S l. Cont
Page 9 and 10: Enclm;nre 4 DEPARTMENTAL CO~FERENCE
Page 11 and 12: Enclosure 6 TEL ECO='IFERENCJNG R£
Page 13 and 14: Instructions Enclosure 7 1 SPONSOR
Page 15: Enclosure 8 4. Make all support req
Page 19 and 20: Enclosure 9 Rc::crved parking (15 s
Page 21: Enclosure 9 Attlcbmcmt FACU.,ITIES

Instruction 5110 - Uniformed Services University of the Health ...

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