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
*
-- select --
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
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?
*
-- select --
2
3
4
5
6
7
8
9
10
11
12
Number of students in this class?
*
-- select --
1-10
11-20
21-30
31-41
When do you intend to begin using this curriculum?
*
-- select --
April - June 2019
July - August 2019
September - December 2019
January - June 2020
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
*
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