Sanford PROMISE believes every student should have access to the resources (quality teachers, relevant lessons, high-tech equipment, and mentors) to pursue careers in science and research. As a result, we are committed to sharing over $40,000 of resources and supplies with schools. Educators requesting equipment will be asked to sign a waiver for the supplies and are asked to return the equipment in the condition it was borrowed by the date negotiated to allow others to utilize the supplies. Failure to return in the condition it was borrowed in or if not returned in a timely manner may result in having future opportunities removed. All equipment must be reserved using this request form.  All equipment is available on an as needed, as requested manner and completions of the request form are met in the order in which they are received. First priority is always given to educators who have attended Sanford PROMISE educator workshops.

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* 1. Reservation Dates Note: if you are flexible on timing, including this ensures we can fulfill the largest number of requests:

Pick up day (MM/DD/YYYY)
Start date for usage of the equipment (MM/DD/YYYY)
Return day (MM/DD/YYYY)

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* 2. Information:

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* 3. What equipment do you need to borrow? (please select all that apply)

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* 4. Student Info:

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* 5. School Demographics (note: much of this information is available on the department of education district report card if needed):

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* 6. When possible, we try to directly hand off materials. Please identify whether shipping will be necessary and any special accommodations for shipment (note: some equipment is unable to be shipped).

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* 7. Please describe how this activity fits into your curriculum/unit:

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* 8. Explain/describe any concerns about conducting this activity (methods, techniques, timing, content, etc.):

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* 9. Would you like to arrange an Interactive Video Conference with someone from the PROMISE Team or a researcher from Sanford Research? (listing of Primary Faculty and research interests can be found at http://www.sanfordresearch.org/faculty/primaryfaculty/)

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* 10. Please describe any other needs:

Thank you for your dedication to learning and teaching new techniques in your classroom. Please don't hesitate to call or email if you have any questions or need any additional information. Ben Benson, Research Education Specialist, can be reached at 605.312.6421 or Benjamin.Benson@sanfordhealth.org.

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