BoSAT Kit Order Form

	If you have any questions, please contact Debra Croce debra_croce@boces.monroe.edu or 585-249-7063.

	All ordering for the current school year starts the previous May. The kits you are ordering today, may not be available. We will make every effort to accommodate your schedule.

1.	School District*

2.	SCHOOL YEAR* Select at least 1 and no more than 1.
	2018-2019    2019-2020    2020-2021    2021-2022    2022-2023

3.	Building Name*

4.	Address of School*

5.	Phone Number*

6.	Contact Name for your School*

7.	Email address for Contact Name*

8.	BOCES4Science Kits
	Weather for Kindergarten    Sending Messages with LIght & Sound    Save the Bees!    Investigating Weather & Climate    Riding the Waves of Information    Deer, Deer, Everywhere!    Waves & Electromagnetic Radiation

9.	Kit Titles
	Kit Titles Animal Studies (Grade 4-5) Animal Studies ELA Balancing & Weighing (Grade 2-3) Balancing & Weighing ELA Changes (Grade 2-3) Changes ELA CSI (Grade 1-2) Earth Movements (Grade5-6) Ecosystems (Grade 5-6) Ecosystems ELA Electric Circuits (Grade 4-5) Electric Circuits ELA ELS Test Kit (Grade 4) Food Chemistry (Grade 5-6) Forces & Motion (Grade 3-4) Forces & Motion ELA From Seed to Plant (Grade K) Hands on Science (Grade 4) Interacting Matter (Grade 2) Land & Water (Grade 4-5) Land & Water ELA Life Cycle of Butterflies (Grade 2-3) Life Cycle of Butterflies ELA Living Things (Grade K) Living Things ELA Magnets & Magnetism (Grade 2-3) Magnets & Magnetism ELA Measurement II (Grade 2-3) Motion & Design (Grade 3-5) Organisms (Grade 1) Organisms ELA Owl Pellets (Grade 4-6) Owl Pellets ELA Plant Growth & Development (Grade 3) Plant Growth & Development ELA Rocks (Grade 5-6) Rocks & Minerals (Grade 3-5) Rocks & Minerals ELA Sink or Float (Grade 2)

10.	Teachers Name(s)
	Name 1   2   3   4   5   6   7   8

11.	Kit Titles
	Kit Titles Soils (Grade 2-3) Soils ELA Solids & Liquids (Grade 1) Solids & Liquids ELA Weather (Grade 1) Weather ELA Weather Instruments (Grade 5) Waste to Energy (Middle School)

12.	Number of Kits Needed Per Teacher

13.	Kits for video conferences and missions/voyages
	Challenger Learning Center science kit (Grade 5-6)    Astronauts Living the Dream!! video conference    Transfer of Energy Video Conference    Simple Machines Video Conference    Reasons for Seasons Video Conference    Fraction Hero Video Conference

14.	Teacher Name
	Name 1   2   3   4   5   6   7   8   9

15.	Number of Kits Needed Per Teacher

16.	Delivery Date (Monday date only)*
	mm/dd/yyyy

17.	Pick Up Date (8 weeks after delivery date - Friday date)*
	mm/dd/yyyy

18.	Would you like the same kit schedule as previous school year?*
	Would you like the same kit schedule as previous school year?* Yes No

19.	Please check if you are:
	Please check if you are: Monroe #1 BOCES Component District Other BOCES - Non-Component District (Cross Contract Needed) Private, Nonpublic School (Please call 249-7063 for billing) Home School (Please call 249-7063 for billing) Other, please specify

	If you are a Non-component District, please submit a cross contract from your BOCES. If you are a non-private school, please submit information for billing (purchase order).

	To submit this form, please click "Done."