STEM Checkout List South Central STEM Hub
Complete this form to reserve/checkout materials from the South Central STEM Hub inventory
First Name *
Your answer
Last Name *
Your answer
Organization
Your answer
Email address *
Your answer
Telephone number *
Your answer
Would you like to *
Material(s) possession date
MM
/
DD
/
YYYY
Material(s) return date. Maximum loan period is 6 weeks. (Tablets loan maximum is 2 weeks)
MM
/
DD
/
YYYY
How many students will be impacted by the materials you check out?
Your answer
Materials requested (check all that apply)
Submit
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