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4M Mentor Mothers Training Manual: Permissions Form
NB: PLEASE IGNORE THE "REQUEST EDIT ACCESS" MESSAGE, ABOVE RIGHT. THE FORM IS READY FOR YOU TO FILL IN.

This form is for you to apply for our written permission to download and copy our training manual for your own not-for-profit use. It is also so that we can keep in touch with you, to share updates to the manual and shared learning between all users.
Email address *
Optional personal email (in case you move job and want to stay in touch)
What are your names (personal followed by family name please) *
What is your organisation's name *
Describe your organisation (if 'other', please describe in next question) *
If 'other organisation' ticked above, please describe it here
How do you want to use the training manual? *
In which country do you wish to use the manual? *
Please name the country/ies and/or region(s) where you wish to use the manual *
How many copies of the training manual do you want to make? *
The copies will be made available (nb we strongly recommend that they are free or only sold at cost) *
If you are planning to sell the copies for profit, please explain why here
Please explain if and how you plan to adapt the manual *
Thank you for your responses. We will be in touch shortly. Please read the google forms webpage on your screen after you have pressed submit, for further information.
A copy of your responses will be emailed to the address you provided.
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