Equipment Checkout Form

Please fill out the info below to begin the checkout process for this equipment.

Selected Equipment
Address is for drop off or for mailing equipment.
When will you need this equipment? Please include general timeframe, specific dates, etc.
How many students do you anticipate using the equipment?
Please briefly share with us how you will use the equipment or any other information you think we might need.
Disclaimer
I agree to supervise the equipment being borrowed. If an item is damaged, missing, or fails to function properly, I will notify the Kansas Energy Program (KEP) as soon as possible. Failure to report any issues may prevent other teachers from making full use of the equipment.
CAPTCHA
Answer this question correctly to prevent spam and show you are human:
This question is for testing whether or not you are a human and to prevent spam submissions.