Microsoft Azure Sphere DevKit Request Form

Date Submitted:*

Requesting Organization/Academic Entity: *

POC Name/Title:*

Email Address: *

Phone Number: *

Area of Instruction: *

Please provide the names and titles of your staff that have MS Azure experience and/or familiarity:*

Please describe how you will utilize the DevKits: (At a minimum, include an outline of the program, length of the program, amount of instruction time anticipated, where the devkits will reside when not being used, how they will be secured/maintained)*

Please describe the metrics which will be obtained during your program: (For example, results to be collected/achieved)*

Projected Number of Students Impacted: *

Number of DevKits requested:*