2019 STEM Shoppe Loan Materials Request Form
Please use this form to request loan materials. Requests are reviewed twice a month. If you need items sooner, please contact kristen.tanner@tulsastem.org. You will be contacted via email to confirm loan dates and to arrange pick up and return of items.
Email address *
Name *
Your answer
School or Organization *
Your answer
School or Organization Address *
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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YYYY
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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