Old-STEM Lab Discovery & Scope of Work Form

Point of contact

First

Last

Email

School Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Do you have a vision for STEM/STEAM in your school or district?

Are you focused on STEM or STEAM (includes Arts)?

Is this a whole school initiative or a specialized program (e.g., Magnet, Enrichment, CTE)?

Email you'd items

Do you currently have a STEM/STEAM team or coordinator?

Grade levels or student groups that will primarily use the lab

Estimated number of students per session:

Desired outcomes: (check all that apply)

Classroom measurements or square footage:

Upload a floor plan or layout photo:

Drag & Drop Files, Choose Files to Upload

Are there any structural limitations (columns, fixed cabinetry, etc.)?

Is this a shared or dedicated space for STEM use?

Main point of contact (Name, Email, Title)

Check all that apply to your current space:

Select all items you're interested in or currently have:

Check all instructional resources you'd like included:

Check materials you use or need:

Check all resources you'd like included:

Optional: Engagement Add-ons

STEM Lab Discovery &
Scope of Work Form