JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Assistive Technology Lending Library
Complete the request form:
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name:
*
Your answer
School District:
*
Your answer
School Name and Complete School Shipping Address:
*
Your answer
Area(s) of concern: How will the items requested help my student(s) strive within classroom.
*
Your answer
Communication devices:
Twin Talk
Talkable w/built in Icon holders
Talkable Photo Album
Big Talk Triple Play (yellow)
Mini-Com
Small Talk Sequencer w/levels
Put-em-Around
Cheap Talk 8 - 6 levels
Clear selection
Adaptive switches: ****a switch is required to operate
Out of Stock - Bunny
Pretty Kitten
Chihuahua
Puppy Dog
Out of Stock - Music & Play Butterfly
Out of Stock - Jellyfish Lamp
Out of Stock - Tornado Lamp
Out of Stock - 5" Fan -
Clear selection
Activity pads and or tiles:
Out of Stock - Gel Maze
Sensory Liquid Floor Tile (20 x 20)
Clear selection
Weighted lap pad
Hex Gel Lap Pad
Limey the Weighted Lizard
Charlie the Weighted Bulldog
Weighted Sequin Pet - Dino
Weighted Dquin Pet - Hippo
Weighted Snake Puppet - small (2 lbs)
Comfort Weighted Lap Pad - 2 lbs
Clear selection
Chewy items
Chewy Tubes
Chewy Robotz
Chew Pendants
Kid Companion Necklace
Chew Buds
Clear selection
Other:
Good Vibes Waterproof Massager (color may vary)
Hand Held Bug Massager
Floating Color Timer
Mox the Talking Ball
Monkey Fidgetz
Out of Stock - Follow the Leader (finger dexterity game)
Fabric Marble Maze
What' Zit Fish
Tilt & Turn Liquid Sensory Windows (set of 3)
Calming Cuddle Ball
Vibrating Pillow (color/shape will vary)
Boardmaker / Boardmaker Plus CD
Learning Resources Tranquill Blue Classroom Light Filters (set of 4)
Flex-Space Wobble Cushion (color may vary)
Flex-Space Comfy Floor Seat (color may vary)
PECS (books not included)
Potty Watches
Time Timer - 12"
Sand Timers (set 1, 3, 5 and 10 minute)
Gel Bead Sensory Shape
Sensory Stars Beanbag set
Dimpl's
Teachable Touchables
Tactile Liquid Letters
Califone Hush Buddy Hearing Protectors (character will vary)
Clear selection
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Simpson County Schools.
Report Abuse
Forms
