Kent ISD AT Trial Request Form

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To complete your equipment request through the Kent ISD Assistive Technology Trial Library, please answer the questions below. The information you provide will assist us in the effective determination and implementation of AT resources throughout Kent County. Once you complete this survey and book your items through our online catalog, your request will be processed and you will receive notification that your item is ready for pick-up or delivery through the ISD’s courier service.

Email *

Your First & Last Name: *

Item (s) being requested: *

Loans limited to 5 items at a time. If additional items are needed, please describe special circumstances. If borrowing an iPad, please specify which apps you'd like to trial here.

School district/program & building/location where equipment will be trialed: *

Your role on the school/program team: (e.g. SLP, OT, Teacher) *

How many students do you plan to trial this equipment with? *

1 student (individual trial)

2-5 students (small group trial)

6-9 students (large group trial)

10+ students (whole class trial/UDL)

Other:

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