Request Access to the Coos County STEM Hub Resource Trailer

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This form is to request access to the resource trailer located at South Coast ESD in Coos Bay, Oregon. In-school and out-of-school preK-14 educators on the Oregon Coast may borrow materials at no cost. Using this form will create a user account, and once you are approved you may explore the inventory and request materials. Please allow two days for your registration to be processed.

Materials may be checked out for up to 2 weeks at a time. Users may pick up and return materials at the trailer in Coos Bay.

Email *

School Email: *

This email address will be tied to your account, and once your request is approved, you will receive an invitation from Lend-Items at this email address.

First Name: *

Last Name: *

Phone Number *

School: *

District *

Role

Classroom Teacher

School Administrator

Early Childhood Educator

Teacher on Special Assignment

Afterschool Educator

Museum / Informal Educator

Post-secondary Educator

Volunteer

Other:

What grade level(s) do you work with? Select all that apply.

PreK-2

3-5

6-8

9-12

Post-secondary

Other:

How did you hear about the Coos STEM Hub Trailer?

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