Scripps Florida InSPIRE - Materials Request Form

Please fill out all of the fields below completely. Requests may only be submitted by classroom teachers who have previously participated in Scripps Florida's InSPIRE Teacher Workshop or Kenan Fellows Summer Internship Program.

Your Name: *
Subjects Taught: *
Name of School: *
Location of School: *
Email Address: *
Date the Materials are Needed by: *
Duration of Loan: *
Can you pick up the materials at Scripps? (Jupiter): *
MATERIALS REQUESTED: Spectrophotometers (includes PC laptops with SpectraSuite software): *
Multicolor LED light boards:
Cuvettes:
Micropipettes (2-20µ):
Micropipettes (20-200µ):
Micropipettes (100-1000µ):
96-well plates:
Denver Instruments Analytical Balances:
BioRad Mini Incubator:
BioRad 'MJ Mini' Thermal Cycler:
BioRad Electrophoresis Cells (with PowerPacs):
Light Microscopes:
COMMENTS:

materialsrq

true

1357887147876

tfrenzel

Scripps Florida InSPIRE - Materials Request FormJpylePrevious participants of Scripps Florida's InSPIRE Teacher Workshops may use this form to request a check-out of classroom-ready kits.

Scripps Florida InSPIRE - Materials Request Form

/florida/education/k12/Teacher_Workshops/materialsrqTSRI Extranet - www.scripps.edusite://TSRI Extranet - www.scripps.edu/florida/education/k12/Teacher_Workshops/materialsrqjpyle

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jpyle

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tsrifled@scripps.eduInSPIRE Materials Loan Request

leach@scripps.edu

jpyle@scripps.edu

Scripps Florida InSPIRE - Materials Request Form

send-emailtextYour Name(last name, first name)YestextSubjects TaughtYestextName of SchoolYestextLocation of School(city)YestextEmail AddressYestextDate the Materials are Needed byDD/MM/YYYesdropdownDuration of Loan1 Day2 Days3 Days4 Days5 DaysMore (please explain in the comments section below)YesdropdownCan you pick up the materials at Scripps? (Jupiter)Yes (preferred)No, please deliver to my schoolYesdropdownMATERIALS REQUESTED: Spectrophotometers (includes PC laptops with SpectraSuite software)NoneOneTwoThreeFourFiveSixSevenYesdropdownMulticolor LED light boardsNoneYes, one per spectrophotometerdropdownCuvettesNoneYes (please specify quantity requested in comments section below)dropdownMicropipettes (2-20µ)NoneOneTwoThreeFourFiveSixSevenEightdropdownMicropipettes (20-200µ)NoneOneTwoThreeFourFivedropdownMicropipettes (100-1000µ)NoneOneTwoThreeFourFivedropdown96-well platesNoneYes (please specify quantity in comments section below)dropdownDenver Instruments Analytical BalancesNoneOneTwoThreeFourFiveSixdropdownBioRad Mini IncubatorNoYesdropdownBioRad 'MJ Mini' Thermal CyclerNoYesdropdownBioRad Electrophoresis Cells (with PowerPacs)NoneOneTwoThreedropdownLight MicroscopesNoneOneTwoThreeFourFiveSixSevenEightNinetextareaCOMMENTSSubmit Formfalse

Submission Received

Thank you for your request! Someone will contact you within three (3) business days to confirm the details of your request.

To return to the InSPIRE Teacher Workshops page, CLICK HERE.

To return to the main Scripps Florida K-12 Programs page, CLICK HERE.