Permissions Request Form

Full Name: *

Email: *

Name of Organization: *

What best describes your role/organization? *

Academia

Advocacy

Education/Early learning

Government

Health care

Philanthropy

Press/Media

Social media/entrepreneur/business

Social services

Other

Please describe your organization *

How would you classify your organization? *

Non-profit

For-profit

Other

Please describe how you would classify your organization:

Who is your audience? *

Health care professionals

Advocates

Childcare professionals

Children and families

Educators

General Public

Legal and judicial professionals

Mental health professionals

Policymakers

Social services

Other

Please describe your audience:

What is the expected size of your audience? *

Briefly describe how you intend to use the requested material *

What are you requesting permission to use? *

Publication (Working Paper, InBrief, Infographic)

YouTube video (sharing the link to a YouTube video)

Video file (requesting video file to download)

Podcast

Image, Figure, or Graphic

Miscellaneous web content (information on the Center's website that is not available in downloadable or PDF form)

Please note that we only provide one-time downloadable video files when YouTube videos cannot be linked to or embedded due to unreliable internet connection or learning management system constraints. If your request is not applicable to either situation, please select "Youtube video" instead.