Educator Request

Thank you for providing free period products to your students! Please fill out the form completely, and don't hesitate to reach out with any questions!

Email*

School Name

First Name

Last Name

Title

Product Type

Mostly Pads

Mostly Tampons

All Pads

Half Pads, Half Tampons

Pick-Up

Please mail products to the address below

I'll pick up at Elevator (1402 Jones Street, Omaha)

Mailing address

Preferred Pick-Up Date

Please choose a pick-up date at least one week from form submission. Pick ups can be scheduled Monday-Friday from 8AM-5PM.

Month-Day-Year

Elevator Pick-Up Instructions:
- Choose your preferred pick-up date, and we will confirm by email.
- On your confirmed pick-up date, pick up from Elevator Spaces at 1402 Jones Street, Omaha, NE 68102 any time between 8AM-5PM.
- When you arrive, park at a meter or pull up to the loading zone on 14th Street (a south-bound one way street). Ring the bell at the main entrance on 14th Street, and tell the staff you're there to pick up products from Access Period.
- Each bag (or box) will be marked with your name and organization, and the number of bags in your order. It's common for people to pick up the wrong package, so be sure to check all tags.

Anything else you want us to know?

Are you willing to have a 5-minute conversation about your experience as an educator who provides period products to their students?

This will aid in our advocacy efforts to make free period products available to all students in Nebraska. It's totally optional and you don't need to participate to receive free products.

Yes