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Request for Access to Clinical Training Materials from the STAND ALACRITY Center
Please complete the below form to submit your request for access to the clinical training materials.
Please note that materials are copyrighted and UCLA is sharing materials for non-commercial use only.
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Email
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Your email
1. Your last name
*
Your answer
2. Your name
(Last Name, First Name)
*
Your answer
3. Name of your employer/organization.
*
Your answer
4. The email address of the person who will be accessing the files.
*
If you have an existing Box account, you may wish to use the email address linked to that account.
Your answer
5. Contact Phone Number
(Format 1-234-567-8910)
*
Your answer
6. Why are you interested in accessing the clinical materials (i.e., how do you plan to use them)?
*
Your answer
7. How did you learn about the materials?
*
STAND ALACRITY Center team member
Referral from colleague
When visiting STAND ALACRITY Center website
Web search
Email/newsletter
Referenced during an event/presentation
Other:
Required
8. Please use the space below to share any other information about you, your request or how you learned about this resource.
Your answer
A copy of your responses will be emailed to the address you provided.
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