Please check each box to acknowledge agreement to the following requirements.

The program is available to educators/adult leaders who have not participated before.*

This program equipment will be loaned for a maximum duration of two weeks.*

The program requires at minimum, 30 days notice before fulfillment.*

This program is available to the U.S. only.*

Note: If you're in Canada, please email Tom Steinke at TSteinke@ti.com to determine availability.

First Name*

Last Name*

School or Organization Email Address”*

Job Title

Position*

Years of teaching experience:

School/Campus/Organization*

School Address*

District

Phone*

Fedex/shipping requires this

City*

State or Province*

Zip or Postal Code*

Subject area: Which courses do you teach? Select all that apply.*

Math

Science

STEM

Coding/Computer Science

Please select the grade levels you teach.*

EL 3⎯5

MG 6⎯8

HS 9⎯12

Post-secondary

Please tell us more about the class, club, event, etc., that you are planning?*

How did you hear about the TI STEM Projects Pilot Program?*

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Choose your project

Digital Mood Ring

Making Music With Code

Rover, Watch Out for Rover

TI Math in Motion lessons

On-Ramp to Robotics/Mars Challenges

____________________________________________________________________

Which handheld do you want to borrow?

TI-Nspire™ CX II graphing calculator

TI-84 Plus CE Python graphing calculator

I already have a set of one of the above. I do not need to borrow.

____________________________________________________________________

When will your event begin?

Note: TI STEM Projects Pilot loans are limited to 2 weeks and are offered only to educators and youth program mentors (ex. Scouts, after school programs).

A notice of at least 30 days between the request date (today) and the event date is required. A TI STEM Projects Pilot program is limited to one pilot per school and/or educator every three years.

Begin date

End date

Largest class size at any one time

Total number of students across all groups

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Subject area: Which courses do you teach? Select all that apply.*

Please select the grade levels you teach.*

____________________________________________________________________

Choose your project

____________________________________________________________________

Which handheld do you want to borrow?

____________________________________________________________________

When will your event begin?

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* Required Fields

Receive updates from Texas Instruments

Note: After completing this form, you will receive an email from Wendy Peel (wpeel@ti.com).