Arizona Department of Education

Exceptional Student Services

Assistive Technology Short Term Loan Library

Please note: The equipment inventory via this program is only available for loan to personnel affiliated with the Arizona Department of Education school districts. If you are not school personnel, a school based/contract therapist or a teacher borrowing equipment on behalf of a student in a K – 12th grade program please visit the AzTAP home page and review AzTAP’s services other than the ADE Equipment Loan Program.

Suggest an Item for the ADE Loan Library.

Directions: Complete this form, providing as much information about the requested product as possible. This information, together with data on frequently requested items, helps us maintain an inventory that responds to the needs of Arizona school districts.

Required fields are marked with an *.

Name of Item:
Manufacturer/Vendor:
Description:
How did you hear about this item:
Suggested By:
First Name:
Last Name:
Telephone Number:
Email Address:

ADE values your privacy and will not sell or distribute your contact information. This information will ONLY be used to contact you if we have questions regarding your suggestion.