Please fill out the information below to return materials to the West TN STEM Hub. Dropping off the materials closer to the completion of the scheduled event is ideal. Please do not drop off materials without getting confirmation. If you have any questions or concerns, contact Corinna Carter at ccarter6@memphis.edu.

Please enter the following contact information. This will be used to confirm the time of delivery.

Question Title

* 1. Please enter the following contact information. This will be used to confirm the time of delivery.

Please list the school(s) that you took the materials to.

Question Title

* 2. Please list the school(s) that you took the materials to.

Please list the number of each kit that you borrowed.

Question Title

* 3. Please list the number of each kit that you borrowed.

Please indicate the dates that you can drop off the materials.

Question Title

* 4. Please indicate the dates that you can drop off the materials.

Date / Time
Date / Time
Date / Time
Do you have any feedback about the materials? (Broken parts, lost pieces, etc.)

Question Title

* 5. Do you have any feedback about the materials? (Broken parts, lost pieces, etc.)

If you have any pictures from the event, please send them to Corinna Carter at ccarter6@memphis.edu.

T