Skills Lab Request form


Follow these instructions when using the Skills Lab Request Form (please read before beginning form):

All fields must be completed (Note: You will not be allowed to advance to the next section until all required fields are filled out):

  • Enter the date and time of lab
  • Enter your full name
  • Enter course number and name
  • Select your course level using the drop-down menu
  • Enter your email and contact number
  • Click “Next” to go to the second part of the form

On the left you will see a list of concepts. You can select/deselect these concepts to see the packages available.
Click the package you would like and enter a quantity for the items that appear. Do not enter a “0” in qty field if item is not needed.
If an item is not on the lists that appear, use the “Special Requests” field (at the end of this form) to enter that information.
Once you have selected all the items you would like, click “Submit”.
You have now submitted the “Lab Request Form”. You will see our confirmation page. Make sure to check your email to see if you received a copy of the submission form. If you did not, complete the form again or contact Sharon Flaherty to confirm request was received.

For any questions, please contact the School of Nursing Lab Staff at, or at 575-646-3699.