Alberta Context Tool (ACT): Full Use Access
The following constitutes an agreement between you hereinafter called Researcher and the Knowledge Utilization Studies Program of the University of Alberta, Edmonton, AB, Canada, hereinafter called KUSP.

Conditions of use are located at the end of this document.
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Researcher Information
If you are a project manager or a project coordinator requesting permission for a project, please fill with information of the Principal Investigator.
Full Name of Principal Investigator *
Email Address of Principal Investigator *
Full Name of Contact Person
If other than Principal Investigator
Email Address of Contact Person
Institution *
Name of Supervisor (if student)
Full Mailing Address *
Phone *
Description of Project
Permission will be granted only for the project described in this agreement, as outlined below
Name of research project of thesis title *
Description of project *
How will the ACT be used in the described research *
Anticipated start date *
October 01, 2015
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Anticipated completion date *
May 31, 2017
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Projected size of research sample *
Name of research project or thesis *
ACT Survey to be Sent
Please indicate the survey version that you require *
Required
Please indicate the survey form that you require *
Required
Alberta Context Tool (ACT): Conditions of Use
The Knowledge Utilization Studies Program (KUSP) will provide the researcher with a copy of the Alberta Context Tool (ACT). The researcher is responsible for the reproduction of ACT, the distribution of the survey, and the collection of data.

The researcher will retain full rights to the data for publication.  On completion of the study the researcher will forward a digital copy of the ACT and demographic data from their study. These data will be used to assess the psychometric properties of the ACT and to build the ACT’s normative record on an ongoing basis. KUSP will retain rights to use these data within analyses of its larger ACT data set but will not publish analyses based on these data alone.

The data should be received within one year of project completion and submitted as follows:
 • in Excel format
 • with documentation (i.e., codebook)
 • uploaded to the HRDR secure sharepoint site (by arrangement with the KUSP Data Manager)

The researcher will not distribute ACT to any other party. The text will not be copied in any publication, research reports, or theses arising from the research.

The researcher will not adapt or modify the ACT without permission.

Permission to use ACT is granted solely for the project described in the Full Use Permission Agreement between KUSP and the researcher and is not transferrable to other researchers or projects.

If the ACT will be distributed in a language other than English, professional translation and back translation from English to the second language is required. Consultation with Dr Estabrooks during and following completion of the back translation must precede use of the tool.  All costs associated with translation and back translation are the responsibility of the requesting researcher. The translated version of ACT will become the property of Dr Estabrooks who will provide it, where requested, to other researchers under the same conditions as have been outlined above.

All copies of ACT must include the following text:

© Carole A. Estabrooks, 2007                                                                                                                    
All rights reserved. No part of this instrument may be produced, stored in a retrieval system, or transmitted  in any form or by any means without the prior written permission of the copyright owner.

Conditions of Use Agreement *
The Researcher agrees to abide by the terms of this agreement. The researcher also gives KUSP permission to list their project, in the ACT manual and/or on the future ACT website, with other projects and researchers that have used the ACT
Please allows us 2 weeks to review the request and respond to you by email.
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