Teacher Request Form

BBDiscovery! Project

Please complete one form for each activity requested.
Allow 1 week before delivery of supplies. Supplies will be picked up one week after delivery date.

* Indicates a required field.

*Teacher Name

*E-Mail address

* School Blanchard HS Brink Jr High Calumet HS Capitol Hill Carl Albert Canadian County Educational Center Cashion HS Centennial HS Central Jr. High Deer Creek HS Del City HS Del Crest Jr High Douglass Enid NW Rural Center Harding Independence Charter Haskell NE Rural Center Highland West Jr High Jarman Junior High John Marshall Kerr Junior High Latta SE Rural Center Lawton SW Rural Center Lincoln Academy Locust Grove HS Medford HS Midwest City HS Minco HS Moore HS Mustang HS Mustang Mid High Norman HS Northeast Academy Northwest Classen Oklahoma Christian School Pathways Putnam City North Putnam City Original Putnam City West Santa Fe South Charter Stillwater HS Stroud HS Taloga HS US Grant HS Vanoss HS Wellston Westmoore Western Heights Yukon Other: place school name in comment box please

* Name of lab requested Amax of Bromophenol Blue-groups of 4 Amylase Lab-groups of 3 DNA Extraction-groups of 2 DNA Patterns Demystifying Electrophoresis Exercise in Micropipetting-groups of 4 GM Corn PCR Immunoassay-groups of 2 Intro to Column Chromatography Ohm's Law PCR Basics - Water Bath & TC Seafood Forensics-groups of 4 Transformation of pGreen Bacteria (APBio Lab6A)-groups of 4 Paper Labs - list choice in comments Plasmid MiniPrep pGREEN Usings Salts and Gel Box to Explore Chemical Concepts Restriction Anal of pGREEN Recovery GFP Col Chrom SickleCellAnemia Electrophoresis ALU PCR PTC PCR Other

Video request no video requested Ag Biotech World of Opportunity Biosci Real Jobs Real People Biotech Making the Connection Biotechnology: Serving Human Needs Biotech and Bioinformatics at OCCC Biotech Pathways to Technology DNA the Human Race DNA Playing God DNA Curing Cancer DNA Pandora's Box DNA The Secret of Life La Ciencia Para Un Futuro Mejor Life in the Lab, DNA Day Not So Wild a Dream Plant Made Seafood Forensics Women Scientists with Disabilities Women are Pathologists Women are Researchers Women are Surgeons Women in Dental Research

* Delivery Date(s) requested (NOTE: request delivery the day BEFORE planned date of use)
(give 2 dates in order of preference)
MM/DD/YYYY 1st 2nd

*Ready for pickup in two days three days four days

* Number of students using lab supplies

Check here if you are requesting a professional development workshop only.

Do you need someone from OCCC to assist you with this activity? Typically, we will provide support for one class (ideally this would be during first period). The teacher then teaches the remaining classes.

No Yes

If yes, list date and time (not class period) that you would like assistance.

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