* Please Note * 

Final supply requests are due by January 15th; please make certain you've taken full inventory of your workshop needs before submitting this form!

Also keep in mind, EYH continues to grow by leaps and bounds, while maintaining very limited resources, so please use discretion in your requests. 

1.
Please provide your name and contact information:
2.
Title of your workshop: ✱
3.
Type of workshop:
Please, answer only if applicable.
4.
Room/Facility Needs:
5.
Other room requests not listed above; please be specific:
0 / 2000
6.
General Supply Needs:
7.
Other general supplies not listed above; please be specific:
0 / 2000
8.
Laboratory Equipment Needs:
Quantity Needed; please keep in mind that you will have 3 sections with approximately 25-30 students in each section.
Quantity Needed
Pipettes
Slides
Microscopes
Hot Plates
Hoods
9.
Additional laboratory needs not listed above:
Please be specific; include quantities or recipes.
0 / 2000
10.
Media Hardware Needs:
Quantity Needed (If Applicable)
LCD Projector for Computer Presentation
Desktop Computers
Laptop Computers
DVD/VHS Cart with Monitor
11.
If using an LCD projector, will you bring your own laptop?
Remember to bring your DVI adapter (aka. "dongle") for Mac users, or newer PC's.
12.
Internet Access Needed:
13.
Computer Software Needs:
(Note: Campus computers are on Windows Operating System and have Microsoft Office Suite) Software needs to be downloaded in advance, so please be specific.
0 / 2000
14.
Additional Computer Needs, not listed above:
Please, be specific.
0 / 2000
15.
Paper Handout Printing Needs:
EYH functions on limited funding. For that reason, most printing is done only in grayscale, back-to-back, to save resources. If you need color printing, please discuss well in advance with Nadia Tariq at tariqn@smccd.edu.