Apply for Gratis Books
Please fill out the questions below to request books. Tell us about your work and how you plan to use Hesperian resources. We generally can send 2 books but you may list up to 4 more in case we can expand the donation. Please note that our materials may not be suitable for children although many teachers do use or adapt them for the classroom.
Name of organization or group that will benefit from the books
Your answer
What is your title and role in this organization?
(health worker, nurse, teacher, volunteer, etc)
Your answer
How did you find out about these books and Hesperian?
Your answer
How do you plan to use Hesperian books and who will you share the information with?
Your answer
If we are able to provide books, will you respond to us in 6 months to tell us how you are using them?
What books would you like to receive?
Please select the TWO books most useful to your work from the list below.
Required
What other books would you like? You may be able to receive up to 6 books total.
You may list the titles of up to 4 more books. Or you may request multiple copies of one or more books instead without exceeding 6 books total.
Your answer
First Name
Your answer
Last Name
Your answer
Email address
Your answer
Mailing address to ship books to
Street address or PO Box number (Include Organization Name if needed)
Your answer
City or Town
Your answer
State/Province
Your answer
Postal Code
Your answer
Country
Your answer
Is there anything else you would like to tell us?
Add your comments or questions here. Please note we can only supply books.
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Hesperian Health Guides. Report Abuse - Terms of Service - Additional Terms