STEM Kit Request Form
Please use the following form to make your STEM Kit requests. All requests are met on a first come, first served basis. A full list of STEM kits descriptions can be found on - under the STEM/k-12 Tab. Please contact CSU Extension STEM Agent, Stephanie Lamm, at 970-249-3935 with additional questions.

Form may be used to request multiple STEM Kits, but only for 1 event or event series (.i.e. short classroom course, etc...). If requesting kits for different events, please fill out a separate form for each event.

Plan ahead! Make all kit requests at least 2 weeks prior to event/program!
Sign in to Google to save your progress. Learn more
Email *
Name of Person/Organization requesting kit/s. *
Name of contact who will be responsible for kit while checked out (If different from above).
Contact information: Phone Number *
Is this a cell phone? *
If cell, is texting to contact ok?
Clear selection
Reason for checking out kit/s? (Event, Class, After School Program, Home Use, Etc...) *
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy