F.R.E.E. Loan Form
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TimestampDate Materials are needed by:Educator's NameShipping AddressCity / StateZipcodeCountyE-mail AddressPhone Number (Primary)School / OrganizationNumber of STUDENTS who will use the materialsWhat grade level are the students who will be using the kits? Number of STUDENTS in your largest class?Number of STUDENTS per group? If working individually respond 1 Number of TEACHERS who will use the materialsWhich kits would you like to use?Additional Wind SuppliesSelect which tools you needDo you want a solar oven?Electricity BasicsEnergy EfficiencyEnergy Bike (Pick-Up Only)H2 Fuel Cell ActivitiesSpecial Request / Comments
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2/12/2016 8:02:417/1/2016Katie Graf6301 Kirkwood Blvd SWCedar Rapids52404IAKristin.Hanneman@kirkwood.edu3193981278Kirkwood Community College24Middle School2421Solar Car Kits, Solar Car Kit ManualHot Glue Guns, Linesman Pliers, Needle Nose Pliers
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7/11/2016 7:49:237/12/2016Green Iowa AmeriCorpsCEEECedar Falls, IA50613Blackhawkanderlaw@uni.edu(507) 450-4728CEEE20 maxK-82012Solar Car Kits
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7/11/2016 7:32:587/13/2016Green IowaCEEECedar Falls, IA50614Blackhawk pates@uni.edu641-414-1086Green Iowa25K-63024Junior Wind Kits (Elementary Students)Best Blade Kit (9 different styles of propellers)Needle Nose Pliers, Multi-Metershair dryer
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2/18/2016 10:35:357/18/2016Josiah Sweers6301 Kirkwood Blvd SWCedar Rapids52404IAKristin.Hanneman@kirkwood.edu3193981278Kirkwood Community College24Middle School2421Solar Car Kits, Solar Car Kit Manual, Geared Wind Kits (MS/HS students)Kestrel Meters, Best Blade Kit (9 different styles of propellers)Hot Glue Guns, Linesman Pliers, Needle Nose Pliers, Multi-MetersFolding Solar Oven, Solar Cooking ManualHand Crank Generators, Motor / Generator DemoKill-A-Watt Meters, Laser Thermometer
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6/9/2016 13:04:117/29/2016Carmen FinkenUniversity of Northern IowaCedar Falls50613Iowacarmenfinken@gmail.com7125202625Green Iowa AmeriCorps50K-6th5013Contact me about the Energy BikeWe've been asked to bring the energy bike to the Black Hawk County STEM Fair. We'll pick it up in the morning on Friday, July 29th.
Thanks!
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8/1/2016 8:02:188/4/2016Carmen FinkenUniversity of Northern IowaCedar Falls50613Iowacarmenfinken@gmail.com7125202625Green Iowa AmeriCorps30K-6th3024Solar Car KitsHot Glue Guns, Linesman Pliers, Needle Nose PliersHey Jon! The summer squad is going to need about 20 solar cars, some hot glue guns/sticks, flashlights and pliers. They can help you get those ready on Thursday morning (August 4th) if you'd like! Thanks!
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7/22/2016 10:25:138/19/2016Jordan Wilmes1601 Vine St.West Des Moines, IA50265Polkwilmesj@wdmcs.org5156811382Stilwell Jr High1257th3023Geared Wind Kits (MS/HS students)Kestrel Meters, Best Blade Kit (9 different styles of propellers)Linesman Pliers, Multi-MetersKill-A-Watt MetersPlease let me know if these materials are not available by August 19th. Thank you!!
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Continued from previous year8/22/2016Jason Jefferson417 5th ave seminneapolis, mn55414Hennepinjefferja@gmail.com5634198967Maxfield/public achievment527Hot Glue Guns, Linesman PliersIntelligent Fuel Cell Car Kit
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7/28/2016 17:18:318/25/2016Cindy BrockmanWest Cedar School 221 15th St. NW Waverly, Iowa50677Bremercynthia.brockman@wsr.k12.ia.us3193522754West Cedar School50fourth grade2522Solar Car Kits, Solar Car Kit ManualHot Glue Guns, Needle Nose Pliers
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6/13/2016 8:15:008/29/2016kathy naughton609 3rd St NW Dyersville, Iowa52040Delawareknaughton@w-delaware.k12.ia.us563-542-0814West Delaware High School6092621Solar Car KitsHot Glue Guns, Linesman Pliers, Needle Nose Pliers, Multi-MetersHand Crank Generators, Motor / Generator DemoKill-A-Watt MetersIntelligent Fuel Cell Car Kit (10 available)Could you please send 3 of each (mulitmeters, killowatts, glue guns, hand crank generators & motor-demo). Need only 1 of each pliers.

Will they send these COD or send a bill?
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9/10/2015 15:43:029/2/2016Jeannie CoughlinPO Box 96Waverly50677IAjeannie.coughlin@wsr.k12.ia.us3193523582Southeast Elementary25125Kestrel Meters, Propeller Kits (8-12 different styles of propellers)Hot Glue Guns, Hair Dryers, Multi-Metersan oven for baking cookiesHand Crank GeneratorsContact me about the Energy BikeI will pick up the energy bike and the solar ovens on 9/9/16.
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8/18/2016 12:19:559/16/2016Doug Mossengren503 Henry StreetKeosaugua, Ia52565Van Burenmossengren@gmail.com7123205514Van Buren High School 1211-121211-2Solar Car Kits, Solar Car Kit Manual
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8/22/2016 8:09:429/21/2016David Carlsen1762 Johnson Ave.Fort Dodge, IA50501Websterdcarlsen@manson-nw.k12.ia.us5155766967Manson-NW Webster24high school1012Solar Car Kits, Geared Wind Kits (MS/HS students)Kestrel Meters, Best Blade Kit (9 different styles of propellers)Folding Solar Oven, Solar Cooking ManualHand Crank Generators, Motor / Generator DemoKill-A-Watt Meters, Laser ThermometerIntelligent Fuel Cell Car Kit (10 available), Dismantable Fuel Cells (6 available)The items ordered will be used for environmental science, electronics, and product development
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green = acknoweldgedpurple = sentyellow = recieved back
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