Email address *
2019-2020 Science Lending Library Request Form
To browse Lending Library kits and equipment, please visit http://suncoastscience.org/lending-library.

Please note, we have a limited number of kits so requests will be distributed based on availability and your prioritization. Our goal is to get these kits in as many schools as possible!

Psst... Did you know we love photos? Please share photos/videos of your kits in action by uploading to this album: http://bit.ly/1920lending.

Contact Information
First Name *
Your answer
Last Name *
Your answer
Phone (with extension if applicable) *
Your answer
School *
Grade level(s) *
Please indicate the grade level(s) of the students using the equipment.
Your answer
Lending Information
Select Your Lending Period *
A maximum of FOUR kits per lending period will be delivered.
Number of students served *
Please list the total number of students that will benefit from the equipment use during the lending period.
Your answer
Would you/PTA/classroom parent be willing to pick up and/or deliver kits? *
Please select your the kit(s) you'd like to borrow for the lending period. *
Your prioritization of kits requested will help us with limited availability.
Required
Should a requested kit be unavailable due to limited kits or other requests, please prioritize the kits you selected so we can do our best with kit scheduling. *
Your answer
I'd like to be notified when new kits are available. *
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This form was created inside of Citizen Scientists League.