Hess Toy Truck STEM Kit Form

Hess Toy Truck STEM Kit Application

First Name *

Last Name *

Work E-mail *

Confirm E-Mail *

Work Phone Number *

School Federal Tax ID # *

School Name *

School District *

School Website

School Mailing Line Address 1 *

School Mailing Address Line 2

City *

State *

Zip/Postal Code *

County

Has your school been a recipient of a previous Hess Toy Truck STEM kit? Check all that apply

2017 Hess Dump Truck and Loader
2016 Hess Toy Truck and Dragster

What grade do you intend to use this for? *

Number of students in this class? *

When do you intend to begin using this curriculum? *

Would you like to sign up for Hess Toy Truck email alerts? *

Yes
No

Would you like to sign up for Hess Toy Truck text message alerts? *

Yes
No

Mobile Phone Number *