CASE Material Request

Kansas Corn Commission is excited to support your teaching efforts by providing free supplies and/or funding for your class. These materials are only available to teachers and educational coordinators located in Kansas and who have completed the CASE training for the Clean Smoke Lab.

CASE Material Request Form

Correct Form: Scroll through the list in the middle of the form below. If you are not finding what you are looking for you are on the wrong form. Return to the Request Free Resources to access correct form.

"*" indicates required fields

Phone

This field is for validation purposes and should be left unchanged.

Name*

First Last

Email*

Cell Phone

School/Organization*

Grade Level and/or Subject You Teach

Mailing Address*

Where would you like your supplies shipped.

Street Address (Please provide USPS Mailing Address) City State ZIP Code

The mailing address you provided is a*

Home Address

School Address

Materials You are Requesting (Only Available to Kansas Educators)*

Corn Seed

Clean Smoke Lab Supplies (Must be CASE Certified for this lab)

Which CASE certification have you received? Where did you receive your training and when?*

How many total students will be taught the lab per year?*

Additional Request/Information

How did you learn about Kansas Corn's education resources?*

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