The driveway to the Kay Jewelers Pavilion on our Akron Campus will be closed for 2-4 weeks beginning Oct. 10. Click HERE for details.
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Home > For Students or Residents > Austen Simulation Center > Contact the Austen Simulation Center

Simulation Wet Request Form

Please fill in this form as completely as possible. Bold items are required fields.

Basic Information

Company Information, If Applicable (Skip This Section If There Is No Sponsor)

Lab Instructions

Yes  No
Age:
Sex:
BMI:
Full body - with head
Full body - no head
Torso to toe tip
Torso w/arms
Pelvis to mid tipia
Shoulder w/clavicle to fingertip
Mid-humerus to fingertip
Mid-femur to toe tip
Mid-tibia to toe tip
Other:

Equipment Instructions

Yes  No
Yes  No
Yes  No
Yes  No
Yes  No
Yes  No
Yes  No

Other Needs

Yes  No
Yes  No
Yes  No