2019 STEM Shoppe Loan Materials Request Form
Please use this form to request to borrow items from The STEM Shoppe. Loan items are available to educators within a 75 mile radius (approx. 1 hour drive) of Tulsa. You will be contacted via email for confirmation and delivery details. Items are available for two week periods and delivery/pick ups are generally scheduled on the first and third Mondays of the month. Please note that items may not be available for the date(s) requested - advance planning is recommended. Please contact kristen.tanner@tulsastem.org with questions. Thank you!
Email address *
Name *
Your answer
School or Organization *
Your answer
School or Organization Address (please include city) *
Your answer
Your personal phone number *
Your answer
Your school phone number *
Your answer
Your Position *
Your answer
What class(es) do you teach? *
Your answer
Select items you would like to borrow (Please limit to 2 items at a time):
Please list the start date you would like to borrow materials. (Materials are typically loaned out for two weeks at a time.) *
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Please list the end date *
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If unsure of start/end date, please add comment(s) here:
Your answer
Number of students served through the use of these materials? *
Your answer
How do you plan to use these materials in your classroom? *
Your answer
Is there a specific item(s) we don't have that you wish we could provide? (If yes, please list.)
Your answer
How did you hear about the STEM Shoppe?
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