Review Copy Request Form
To request a free copy to review for use in an academic setting, please complete the form below, or contact us at United States mailing address is required.
Sign in to Google to save your progress. Learn more
Salutation *
Please include your preferred title (Dr., Professor, Ms., etc.)
First Name *
Last Name *
Email *
Use your university-affiliated email address
Phone *
Include extension, if applicable
University/Institution Name *
Mailing address *
Please include street address, city, state, and zip code
Link to teaching bio *
Please copy and paste a link to your bio on a university website
What book(s) are you interested in receiving (limit to 3 titles)? *
Recruiting the Heart, Training the Brain; Health Actions for Women; Community Guide to Environmental Health; Where There Is No Doctor; Helping Health Workers Learn; Workers' Guide to Health and Safety; A Book for Midwives; Where There Is No Dentist; Childbirth Picture Book; A Health Handbook for Women with Disabilities; Helping Children Who Are Deaf; Helping Children Who Are Blind; Disabled Village Children.
How do you hope to use Hesperian materials in your class(es)? *
Clear form
Never submit passwords through Google Forms.
This form was created inside of Hesperian Health Guides.