Loan Request ~ Museum Teaching Collection
Use UA Museum of the North's teaching collection to explore culture, science, and natural history. A Kit Pass is required to borrow from the collection. Contact ua-museumlearn@alaska.edu with questions. Kits and info online at www.uaf.edu/museum/education/kits.

**Kits will be resting for the summer. NO KIT LOANS AVAILABLE JUNE-JULY.**

Name
Your answer
Title (teacher, principal, etc)
Your answer
School or Institution
Your answer
Address
Your answer
Email
Your answer
Phone
Your answer
2nd Phone
Your answer
Purpose (what will you use these items for?)
Your answer
Grade levels?
What grades will you primarily teach with this kit?
Your answer
When would you like to borrow this kit?
Please request at least 1 week in advance. Loans are for 2 weeks (some exceptions apply).
Your answer
Kit Pass?
A kit pass is required to borrow from our teaching collection. Passes are $25 per academic year.
Which kit would you like to borrow?
See a complete list of kits online.
Are there any individual objects you would like to request?
See lists online.
Your answer
How many students are expected to be served by this loan?
(# of students in your class, # of classes reached)
Your answer
Any other notes or special requests?
Your answer
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