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Permissions Request Form (Translation)
Full Name:
*
Email:
*
Name of Organization:
*
How would you classify your organization?
*
Non-profit
For-profit
Other
Please describe how you would classify your organization:
*
How would you describe your non-profit?
*
Academia
Community-based organization
Government
Other
Please describe your non-profit:
*
How would you describe your for-profit?
*
Health care
Press / Media
Publisher
Consultant
Individual
Other
Please describe your for-profit:
*
Who is your audience?
Early childhood educators
K-12 educators
Medical and health care professionals
Policymakers
General Public
Caregivers
Students
Other
Please describe your audience:
*
What is the expected size of your audience?
*
0-10
11-50
51-100
101-500
501-1,000
1,001-5,000
5,001-10,000
10,001 or more