Request to Use Haring Center Products in Research or Training

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Thank you for your interest in using Haring Center products in your research or training activities. Please use this form to request permission to use products. You may be contacted for more information about your project. We may also contact you when/if the products are updated. We will not share your contact information with third parties.

Email *

Name of principal investigator or lead requestor:

Name of person making request (if different from PI or lead):

Institution, university, organization, or district that will use the product:

Contact information for project (address, phone, email, and/or website):

Please describe the principal investigator's or leader's position:

Faculty member or researcher

Trainer or professional development provider

Administrator or program/district leader

Teacher or service provider

Graduate student

Undergraduate student

Other:

Clear selection

What Haring Center product do you intend to use?

Briefly describe the ways you intend to use the product.

Will you or anyone associated with the project profit financially from this product?

Yes

Clear selection

Do you intend to modify the product?

Yes

Maybe

Clear selection

If so, briefly describe possible modifications or feedback on the product.

Do you agree to share a copy of your final paper or report with the Haring Center? *

Yes

Would you like to learn about future Haring Center products, events, or news?

Yes (you will be added to the Haring Center email contact list)

Clear selection

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of UW. Report Abuse

Forms