Community Engagement Event Request Form

Your Name

Your E-Mail Address

Your Phone Number

Sponsoring Department or Organization

Event Name

Description of the Event

Volunteer or Event Needs

Event Start Date & Time

Year/Month/Day Hour:MinuteAM/PM

Event End Date & Time

Year/Month/Day Hour:MinuteAM/PM

Location of the Event

Is this one time event or on-going?

One timeOngoing

School of Medicine

Abell Administration Building

323 East Chestnut Street

Louisville, KY 40202

M-F 8:00 am to 5:00 pm

No Holiday Hours

View contact information for the School of Medicine.