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Reservation Form

To schedule a visit or equipment loan:

  • Contact a SIM mobile educator to make requests and check availability.
  • Complete and submit the following form within one week to secure your reservation.
  • Please fill out all information, including course title, number of class periods, and how many students in each grade level.
  • If the form is not completed and returned on time, your reservation is not guaranteed (the equipment and/or dates may be given to someone else).
Request Type *

Visit

Drop-Off Only (Please keep in mind that there will be a two week time limit to drop-off loans. Generally, Mondays will be set aside for mobile educators to drop off and pick up equipment.)

Subject *

Biology

Chemistry

Physics

Grade Level (number of students in each grade) *
    7     8     9    10    11    12
Class Periods *

 1

 2

 3

 4

 5

 6

 7

 8

 9

10

11




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