Young Nebraska Scientists

Teacher Information

First Name Last Name E-mail School Name School Address School City School State School Zip How would you categorize your school? Contact Phone Number

(1) pGLO Mobile Lab Request

pGLO Total Students: When would you like to receive the lab? pGLO equipment needed: Incubator Water Bath Mini Centrifuge UV Lights Please select only the equipment you needpGLO consumables needed: Reagents Transformation Solution (Calcium Chloride) LB nutrient broth LB Agar Petri Dishes Inoculation loops Microcentrifuge tubes Disposable plastic transfer pipets Please select only the consumables you need

(2) Restriction Enzyme Digestion and Analysis of Lambda DNA Mobile Lab Request

Digest Total Students: When would you like to receive the lab? Restriction Digest & Lambda DNA equipment needed: Water Bath Mini Centrifuge Gel Electrophoresis Chambers Power Supply Digital Micropipettes Gel Staining Tray Please select only the equipment you needRestriction Digest & Lambda DNA consumables needed: Restriction Enzymes Other Reagents (buffer, marker, DNA, loading dye) TAE Buffer Fast Blast DNA Stain Agarose powder Floating foam Racks Micro Test Tubes Pipet Tips Please select only the consumables you need

(3) PCR: Alu Insert on locus PV92 Chromosome 16 Mobile Lab Request

PCR Total Students: When would you like to receive the lab? PCR equipment needed: Water Bath Mini Centrifuge Digital Micropipettes PCR Thermal Cycler Gel Electrophoresis Chambers Power Supply Gel Staining Tray Please select only the equipment you needPCR consumables needed: Reagents Fast Blast DNA Stain TAE Buffer Agarose powder Pipet Tips PCR tubes Micro test tubes Please select only the consumables you need

Demographics: Overall total of students participating in lab(s) selected?

Used for reporting purposesOverall Total Students Male Female White Black/African American Asian Native Hawaiian/Pacific Islander American Indian/Alaskan Native Other Hispanic/Latino(a) Receiving Special Education Services

Mobile Lab Information