JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Tech Kit Request Form
Thank you for using our Tech Kits! Please fill out the form below to request a kit.
Email Amanda Sweet at
amanda.sweet@nebraska.gov
to check kit availability or ask questions.
For more information about the individual kits, please visit the Tech Kit Page:
http://nlc.nebraska.gov/Tech/kits/kits.aspx
.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Nebraska Library Making Request:
*
Your answer
Contact Name (first and last)
Your answer
Library Mailing Address
Your answer
Choose a Kit: (Quantities indicated are maximum available copies. Email
amanda.sweet@nebraska.gov
for current and future availability.)
*
Choose
Cue Robot w/ Blaster (Up to 15 Available)
Dash & Dot Activity Pack (Up to 15 Available)
Ozobot Evo Robot (Up to 15 Available)
Holy Stone Drone (Up to 6 Available)
Merge Cube (Up to 15 Available)
Snap Circuits Extreme (Up to 8 Available)
Google Nest Smart Home Kit (Up to 4 Available)
Oculus Quest 2 (Up to 15 Available)
DJI Tello Drone (Up to 15 Available)
Finch 2.0 Robot (Up to 15 Available)
Hummingbird Bit Premium Kit (Up to 15 Available)
Sphero BOLT (Up to 15 Available)
Snap Circuits Green Energy (Up to 15 Available)
Kai's Clan (1 Classroom Pack w/ 12 Robots)
Tonies (up to 6 kits Available)
Quantity Requested
Your answer
Date you'd like to receive the tech kits to begin learning the tool. Please note that tech kits are checked out for 30-day increments.
MM
/
DD
/
YYYY
Second Choice: Do you have a second choice if the first kit is not available during the requested times?
*
Choose
Cue Robot w/ Blaster (Up to 15 Available)
Dash & Dot Activity Pack (Up to 15 Available)
Ozobot Evo Robot (Up to 15 Available)
Holy Stone Drone (Up to 6 Available)
Merge Cube (Up to 15 Available)
Snap Circuits Extreme (Up to 8 Available)
Google Nest Smart Home Kit (Up to 4 Available)
Oculus Quest 2 (Up to 15 Available)
DJI Tello Drone (Up to 15 Available)
Finch 2.0 Robot (Up to 15 Available)
Hummingbird Bit Premium Kit (Up to 15 Available)
Sphero BOLT (Up to 15 Available)
Snap Circuits Green Energy (Up to 15 Available)
Kai's Clan (1 Classroom Pack w/ 12 Robots)
Tonies (up to 6 kits Available)
Please add any notes or questions here, if applicable:
Your answer
Next
Page 1 of 2
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms