DNA Genotek's Science Education Program

Thank you for your interest in DNA Genotek's Science Education Program. This program offers a quantity of 50 Oragene®•DNA self collection kits (OG-500 format) at no charge to classrooms in accredited high schools, colleges and universities for teaching purposes. To apply for this program, please complete the form below. Once we receive your completed application form, DNA Genotek will contact you to confirm eligibility.

Application Form

First Name *

Last Name *

Job Title *

Email *

Institution *

Title of Classroom Program *

Address (line 1) *

Address (line 2)

City *

State/Province *

Zip/Postal Code *

Country *

Phone *

Describe how the kits will be used in your classroom. *

Conditions *

I certify that these kits will be used for classroom teaching purposes only. I understand the program is subject to change or cancellation without notice.