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Washington County 4-H Resource Request Form
Please use this form to request a learning activity kit or curriculum book from the county office.
* 表示必填
电子邮件地址
*
您的电子邮件
Name
*
您的回答
Phone number
*
您的回答
Preferred Method of Contact
*
选择
Phone Call
Text
Email
any of the above
Name of School, Organization or 4-H Club/Group
*
您的回答
Are you a 4-H Volunteer?
*
Yes
No, but I would like more information
No
I have read and agree to the "Guidelines for Participation"
*
Yes
No
Requested Resource Kit (information about each kit can be found on our website)
*
选择
Alewives Kit: Grades 6-8
All About Water: Grades K-4
Bird Beak Adaptations: Grades 5-8
Eco-bots: Grades 6-8
Forest Ecology: Grades K-8
Game Changers: Grades 3-8
Geographic Information Systems: Grades 5-12
Junk Drawer Robotics: Grades 6-8
Lego Mindstorms: Grades 3-8
Maine Lakes: Grades 6-8
Owl Pellets: Grades 5-8
Photography Kit: Grades 6-8
Rockets to the Rescue: Grades 3-8
Soil Science: Grades K-4 & 5-8
Tracking Wildlife and Adaptations: Grades K-12
Vernal Pools: Grades K-8
Water Quality: Grades 6-12
Wonderful World of Pollinators: Grades K-4
Offshore Wind Power: Grades 5-9
No kit, requesting a curriculum book
Grow light Table
Request Resource: Curriculum Books in Washington County Office (type N/A if requesting a resource kit)
*
您的回答
Date Requested (please reserve at least 2 weeks in advance)
*
年
/
月
/
日
Return Date (resources can be checked out for one month at a time)
*
年
/
月
/
日
Number of youth participants
*
您的回答
Grade level of youth participants
K
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Number of male participants
您的回答
Number of female participants
您的回答
您回复的副本将通过电子邮件发送到您提供的地址。
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