Kit & Resource Request Form

Name* This field is required.

First Name

Last Name

Email* This field is required.

example@example.com

Choose your grade span.* This field is required.

Elementary

Middle

High

Choose your elementary school.* This field is required.

Bostian Elementary

Overton Elementary

China Grove Elementary

Koontz Elementary

Shive Elementary

Granite Quarry Elementary

Isenberg Elementary

Hanford-Dole Elementary

Hurley Elementary

Knollwood Elementary

Knox Intermediate

Landis Elementary

Millbridge Elementary

Morgan Elementary

Mt Ulla Elementary

North Rowan Elementary

Rockwell Elementary

West Rowan Elementary

Summit Virtual K-8

Other

Choose your middle school* This field is required.

Erwin Middle

China Grove Middle

Corriher-Lipe Middle

Knox Intermediate

North Rowan Middle

Southeast Middle

West Rowan Middle

Summit Virtual K-8

Eagle Academy

Other

Choose your high school.* This field is required.

East Rowan High

Carson High

North Rowan High

Rowan Co Early College

Salisbury High

South Rowan High

West Rowan High

Summit Virtual K-8

Eagle Academy

Other

Choose your grade level.* This field is required.

Kindergarten

1st

2nd

3rd

4th

5th

6th

7th

8th

9th

10th

11th

12th

Other

Kindergarten* This field is required.Choose one. Complete the form additional times for multiple different kits or resources.

I need science materials!

Kindergarten Same & Different Kit (S) LS.K.2

Kindergarten Animal Encounters Experience (S) LS.K.1.1

Kindergarten: Me on the Map Mini-Kit (SS) K.C&G.1, K.G.1, W.K.2, RL.K.7

Kindergarten Winter Celebrations Digital PBL (SS) K.B.1, K.G.2, W.K.2

Kindergarten Makerspace Inventions Over Time Kit (SS) K.H.1.1, K.H.1.2, K.C.1.1, K.ETS.1.1, K.CX.1.1, SL.K.1, W.K.2

First Grade* This field is required.Choose one. Complete the form additional times for multiple different kits or resources.

I need science materials!

First Grade Forces & Motion (S) PS.1.1

First Grade Animal Encounters Experience (S) LS.1.1.1 & 1.1.2

First Grade Sky Patterns Mini Kit (S) ESS.1.1

First Grade Winter Celebrations Digital PBL (SS) 1.G.2, 1.B.1, 1.H.1, W.1.3

First Grade Makerspace Inventions Over Time Kit (SS) 1.H.1.1, 1.C.1.1, 1.ETS.1.1, 1.CX.1.1, SL.1.1, W.1.2

Second Grade* This field is required.Choose one. Complete the form additional times for multiple different kits or resources.

I need science materials!

Second Grade Sound (S) PS.2.2

Second Grade Weather Email Campaign (S) ESS.2.1

Second Grade Animal Encounters Experience (S) LS2.1.1 & 2.1.2

Second Grade Global Winter Celebrations (SS) 2.C.1, RI.2.1, RI.2.3, SL.2.1

Second Grade Makerspace Inventions Over Time Kit (SS) 2.H.1.1, 2.C.1.2, 2.ETS.1.1, 2.CX.1.1, RI.2.3, W.2.2, SL.2.1

Third Grade* This field is required.Choose one. Complete the form additional times for multiple different kits or resources.

I need science materials!

Third Grade Skeletal System (S) LS.3.1

Third Grade Chicken Wing Dissection (S)* LS.3.1 - chicken wings not provided

Third Grade Planets (S) ESS.3.1

Third Grade PBL - From Turtles to Tents -Sent out 4 weeks prior to a scheduled field trip - does not have to be requested if a field trip is scheduled. Can be requested by any teacher whether they have a field trip scheduled or not.

Third Grade Winter Celebrations (SS) 3.C.1, RI.3.1, RI.3.9, SL.3.1

Third Grade Makerspace Inventions Over Time Kit (SS) 3.H.1.2, 3.C.1.1, 3.ETS.1.1, 3.CX.1.1, RI.3.3, W.3.2, SL.3.4

Fourth Grade* This field is required.Choose one. Complete the form additional times for multiple different kits or resources.

I need science materials!

Fourth Grade Rocks & Minerals Kit (S) ESS.4.2

Fourth Grade Fossils Mini-Kit (S) LS.4.2

Fourth Grade Adaptations Kit (S) LS.4.1

Fourth Grade Animal Encounters Experience (S) LS 4.1.1, 4.1.2, & 4.1.3

Fourth Grade Settlers Steps Kit (SS)* 4.G.1.1, 4.G.1.2, 4.G.1.3, 4.E.1.1, 4.E.1.2, 4.H.1.1, RI.4.1, RI.4.7, SL.4.1

State Symbols & Identity Digital PBL (SS) , 4.C.1.1, 4.G.1.1, RI.4.1, RI.4.7, RI.4.9, W.4.2, W.4.7, W.4.8, SL.4.4, SL.4.5, 4.CX.1.1,

Hidden Heroes in our Community Mini-Kit (SS) 4.H.1.1, 4.H.1.2, 4.C&G.1.1, 4.C&G.1.2, 4.C.1.1, 4.C.1.2, RI.4.1, RI.4.3, RI.4.7, SL.4.1

Fifth Grade* This field is required.Choose one. Complete the form additional times for multiple different kits or resources.

I need science materials!

Fifth Grade Ecosystems Kit (S) LS.5.2

Fifth Grade Body Systems Kit (S) LS.5.1

Fifth Grade Body Systems Breakout Review Kit (S) LS.5.1

Fifth Grade Chicken Wing Dissection Mini-Kit (S) LS.5.1

Fifth Grade Animal Encounters Experience (S) LS.5.2.2

Fifth Grade Choose your own Adventure: American Revolution Kit (SS) 5.H.1.2, 5.H.1.3, 5.H.1.4, 5.H.1.5, 5.C&G.1.1, 5.G.1.1, 5.RL.1.5,

Fifth Grade Consequences of Triangular Trade Mini-Kit (SS) 5.H.1.2, 5.H.2.3, 5.C&G.1.1, 5.E.1.1, 5.E.1.2, 5.E.2.3, 5.G.1.1, 5.B.1.1, 5.RI.3, 5.RI.7

Fifth Grade: Do you want a revolution? Mini-Kit (SS) 5.H.1.1, 5.H.1.2, 5.H.1.3, 5.H.1.5, 5.C&G.1.1, 5.C&G.2.1, 5.E.1.2, 5.G.1.3, 5.RI.1, 5.RI.3, 5.RI.6, 5.C.1.1, 5.C.2.1

Fifth Grade Shark Tank Economics Digital PBL (SS) 5.E.1.2, 5.E.2.3, 5.W.2.1, 5.W.1.1, 5.W.3, 5.W.5, 5.C.2.1, 5.C.2.2, 5.L.3, 5.L.6

Sixth Grade* This field is required.Choose one. Complete the form additional times for multiple different kits or resources. STILE and CIBL resources will come straight to your school and do not have to be requested.

I need science materials!

Sixth Grade World Geography Kit (SS) 6.G.1.1, 6.G.1.2, 6.G.2.1, 6.G.2.2, 6.RI.1, 6.RI.7, 6.W.1, 6.E.2.2

Sixth Grade World Religions Kit (SS) 6.C.1.1, 6.H.1.1, 6.G.1.1, 6.B.1.1, 6.RI.7, 6.W.2, 6.SL.2

Sixth Grade Mapping Our Solar System Kit ESS 6.1.2 (S)

Sixth Grade Tides Mini-Kit ESS 6.1.1 (S)

Sixth Grade Soil Testing Kit LS 6.2.2 (S)

Sixth Grade Adventures in VR Experience (SS ) 6.B.1.1, 6.E.1.1, 6.G.1.4, 6.W.1, 6.SL.2, 6.E.2.2

Sixth Grade - The Greek Games (SS) 6.I.1, 6.I.2, 6.I.3, 6.G.1, 6.H.1, 6.E.1, 6.C&G.1.1, 6.B.1.1, 6.RI.1, 6.RI.2, 6.RI.3, 6.W.1, 6.SL.2,

Seventh Grade* This field is required.Choose one. Complete the form additional times for multiple different kits or resources. STILE and CIBL resources will come straight to your school and do not have to be requested.

I need science materials!

Seventh Grade Choose Your Adventure: Middle Ages Kit (SS) 7.I.3, 7.G.1.2, 7.C.1.1, 7.H.1.1, 7.E.1.1, 7.RL.1, 7.W.1, 7.SL.1

Seventh Grade Boiling Ice Lab PS 6.1.2 (S)

Seventh Grade Protists Lab LS 7.1.1 (S)

Seventh Grade Adventures in VR - Turning Points (SS) 7.I.1.3, 7.H.1.1, 7.H.1.3, 7.G.1.1, 7.RI.7, 7.W.3, 7.SL.2, 7.SL.4

Seventh Grade Survive the Cold War Simulation (SS) 7.I.1.2, 7.I.1.5, 7.H.1.1, 7.H.1.3, 7.H.2.1, 7.G.1.2, 7.C&G.1, 7.E.1, 7.RI.1.7, 7.W.7

Eighth Grade* This field is required.Choose one. Complete the form additional times for multiple different kits or resources. STILE and CIBL resources will come straight to your school and do not have to be requested.

I need science materials!

Eighth Grade US Geography Kit (SS) 8.I.1, 8.I.1.3, 8.G.1.1, 8.G.1.2, 8.G.1.3, 8.C&G.1, 8.RI.3, 8.SL.2

Eighth Grade Choose Your Adventure: World War II Kit (SS) 8.I.1.1, 8.I.1.3, 8.I.1.5, 8.H.1.1, 8.H.1.2, 8.H.2.2, 8.E.1.1, 8.E.1.2, 8.RL.1, 8.RL.6, 8.W.1, 8.SL.1

Eighth Grade Hydrology ESS 8.2 &8.3 (S) - Kit will arrive at your school 5 days prior to the SPARK bus experience. It does not have to be requested separately here.

Eighth Grade Deep Time Toolbox ESS 8.1.1 (S)

How many classrooms will be participating with the requested kit or experience?* This field is required.This is for us to make sure we supply enough materials.

How many teams will be participating with the requested kit or experience?* This field is required.This is for us to make sure we supply enough materials.

Materials Requests* This field is required.Choose "none" if you are not requesting any other materials. This list is non-exhaustive. If you do not see what you are looking for, please fill out the Jotform and note what materials you are looking for. If it is available, we are more than happy to help. Please note that we do not supply consumables outside of kits.

None

Kestrel Weather Data Tools (Set of 10)

Beakers - 100ml - Set of 6

Burners/Hot Plates - Sets of 2

Infrared Thermometers - Set of 6

Stick Thermometers - Set of 10

Digital Scales - Set of 6

Heat Lamps - Set of 4

Soil Samples

Specimen Collection of Furs, Skins & Skulls

Shoreline Specimen Collection

Stethoscopes - Set of 10

Lego Mindstorm Kit (Original)

Microscopes

Stereoscopes

Density Materials

Other

When would you like to pick up your kit, materials or experience?* This field is required.Date requests will be honored in the order they are received. Kits will be available on the arranged date. Teachers are responsible for pick up from Horizons Unlimited. Horizons staff will be glad to pick up on the day kits are due if needed. They are due back 2 weeks after the determined start date. The due date will be listed on the outside of the kit.

Date

How many students will be effected by this kit, resource or experience?* This field is required.

Anything you'd like us to know?

Required Return Date

Date

Hour

Minutes

How is the kit being returned?

your or a school staff member will be dropping off the kit or materials at Horizons Unlimited

Kelly H. will be picking up your kit or materials from the front office

Jessica will be picking up your kit or materials from the front office

Em will be picking up your kit or materials from the front office

Kelly C. will be picking up your kit or materials from the front office

Spring will be picking up your kit or materials from the front office

Jason will be picking up your kit or materials from the front office

Date Kit was Returned to HU

Date

Kit Condition

Everything was present. Kit was neat.

Everything was present. Kit was unorganized or missing items.

Kit was neat but missing items.

Kit was a wreck and missing items.

HU Staff Notes