Resource Request Form

Name *

School, District and City *

Grades/Subjects taught *

Email address *

Phone (day) *

Phone (evening) *

What are the dates you are requesting? *

How many students do you have? *

How many classes do you have? *

List the equipment available at your school *

I am interested in

Borrowing materials to do activities in my classroom *

Yes

Scheduling a professional development workshop for my school and/or district *

Yes

BIOTECH Project Activities

Please read the following BIOTECH Project activity descriptions. Considering how much class or workshop time you have, please choose which activity or activities you are interested in.

Activities

DNA Fingerprinting for HS

Please choose:

DNA Fingerprinting for MS

Please choose:

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Resource Request Form