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.

Processing Details: Deadline to request is March 4th. We will deliver supplies to State FFA Convention.
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.

CASE Material Request Form

Name*
First Last
Email*
Cell Phone
School Phone Number
School/Organization*
Grade Level and/or Subject You Teach
Date of Your Activity
Teachers unsure when you will teach the lesson please provide the earliest date you need the supplies.
MM slash DD slash YYYY
When is the earliest date you can receive your supplies?*
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?*