CLAS Culture Box Request Form
The Center for Latin American Studies at Vanderbilt University is committed to supporting cultural awareness among K-12 students. Each Culture Box consists of materials and curriculum from a country in Latin America to create a stimulating, hands-on experience for students. To request the physical culture box, please fill out the following information.

Please note that this request is subject to availability. You will be contacted regarding this request within 3 business days.

Name
Your answer
Email Address
Your answer
Phone Number (Pick-Up/Drop-Off Contact)
Your answer
School Name
Your answer
School Address
Your answer
Grade Level(s)
Your answer
Subject Area(s)
Your answer
Culture Box Requested
Required
Date Requested - Start (Pick-Up)
MM
/
DD
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YYYY
Date Requested - End (Drop-Off)
MM
/
DD
/
YYYY
I have confirmed that the culture box is available for the dates I am requesting.
Required
In order to OBTAIN the culture box (please check the box that applies)
In order to RETURN the culture box (please check the box that applies)
How did you learn about this resource?
Your answer
Additional comments:
Your answer
By completing and submitting this Request Form for the Culture Boxes offered by the Center for Latin American Studies at Vanderbilt University, I affirm that I have read, understand and agree to follow all regulations outlined in the Standard Borrowing Policies. I understand that CLAS will contact me regarding this request. I understand that this request form depends on the availability of the culture boxes and that the availability calendar is not a binding guarantee of a box's actual availability. I agree to abide by all policies and pay for the replacement of lost or damaged materials. Any materials I borrow will be used for classroom or research purposes only and will not be duplicated nor shown in a public setting.
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