Aid request

Application form for aid request

LabAid aims to provide students in developing countries with the chance to see and handle apparatus essential to their course work and practical examinations in Physics, Chemistry and Biology. LabAid can supply, free of charge, small quantities of many basic items of science equipment. Note: we cannot supply chemicals.

If you know where there is a need for this help, please fill out the form below.

Click on each section name to open the form. All fields marked with a * must be filled.

School Information

School Name: *

School Address: *

Postal/Zip Code:

Nearest Large Town/City:

Country: *

Phone number:

School Website details (if available):

Headmaster's Name:

Head Science teacher's Name:

UK based reference's Name:

Applicant's information

Applicant's name: *

Email address: *

Position Held:

Subjects taught:

How long do you expect to be at school?: years

School Facilities

Does the school have a science laboratory?:

Yes

If the school has any science apparatus, please list them:

Please list the apparatus that you require:

If Mains Electricity is available, what is the voltage: Volts

Visiting Labaid

If you can visit Labaid to collect apparatus, please give the date of visit:

Liaison information

Liaison Name:

Address:

City:

Phone number: