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Permission Requests

School (K-12) Request form for students with disabilities

If you have a student who has a verified disability that prevents him or her from using standard instructional materials, please have your school's Coordinator of Services for Students with Disabilities or other school official fill out the request and agreement below for the electronic file required by the student.

If you would like permission to reprint or photocopy material from any of our products, in print or electronic format, please complete this form.

We will respond as quickly as possible, but please understand that it may take 2-4 weeks for you to receive the electronic file. Fields marked with an asterisk (*) are required.

Part 1: Our product information
 
* Title:
   Edition:
   Author:
* ISBN:
 
*   I verify that this textbook has been purchased for use in the student's classroom.
 
 
Part 2: Coordinator of Services or responsible school official
 
* First Name:
* Last Name:
* Phone:
   Fax:
* E-mail:
 
 
Part 3: Electronic file : technical information
 
* Platform:
       PC   Mac

* Type of Electronic File:
       Microsoft Word   Adobe Acrobat (low-res)   Adobe Acrobat (print)

* Version of Above Application (i.e. Word 2000, Acrobat 6):
      
 
 
Part 4: School information
 
* Name of School:
* School Address:
* City:
* Province:
* Postal Code:
 
 
Part 5: Request to duplicate a file previously provided by Pearson Education Canada
 
Although the file may have been previously provided for use by another student at your school, this request for use by another student must still be made to Pearson.

* Are you making this request on behalf of a centralized repository, depository, or other file storing system?
       Yes   No

* Has this file been previously provided?
       Yes   No

      If yes, date of original request (mm/dd/yy):


* Have you verified that the student or someone on his or her behalf has issued payment to the publisher equal to the cost of the print version of the textbook?
       Yes   No

UPON ELECTRONIC RECEIPT OF VALIDATION FROM PEARSON EDUCATION CANADA, INC., YOU ARE PERMITTED TO OBTAIN THE FILE FROM YOUR SCHOOL'S CENTRALIZED LOCATION, PROVIDED ALL CRITERIA ON THIS FORM HAVE BEEN MET.
 
 
Part 6: Verification and Agreement
 
I verify and agree that:
  1. The requesting school or disabled student has purchased the above named printed work (the "Title").
  2. The student is registered to take or attend the above course requiring the use of the Title.
  3. The student has a disability that prevents him or her from using the Title.
  4. The request is made or supported by the Coordinator of Services for Students with Disabilities or other appropriate school official.
  5. The Title has been determined to be essential to the student’s successful completion of the course.
  6. The student and the school will not use or further distribute or copy the electronic files for the Title for any other purpose.
  7. In using the electronic files provided by the Publisher, the disabled student, the College Disabled Student Services Office, or other student official, will abide by the Copyright Law of Canada and the applicable code of conduct and policy of the requestor's school.
  8. Pearson Education Canada, Inc. owns all rights to the Title and the electronic files for the Title, including copyright. The student and the school have only the right to use the electronic files for the purposes set forth in this request.
This file is being provided for use by one student with a disability at your institution who is the specific subject of this request. You agree not to otherwise reproduce, use, sell, transmit, publish, broadcast, or otherwise disseminate or distribute the file (or any version modified for accessibility purposes) to anyone, including but not limited to other students with a disability at your or any other institution, others in the same company, school, college or other organization, whether or not for a charge or other consideration, including but not limited to use in connection with the sale, retransmission, distribution, publication, broadcasting, circulation or other dissemination, for any purpose, whether commercial or otherwise, without the express prior written permission of Pearson Education Canada, Inc.

EXCHANGE OF THIS OR ANY OTHER FILE, IN A MODIFIED FORMAT OR COPY THEREOF, IS A VIOLATION OF THE CANADIAN COPYRIGHT ACT. SEPARATE AUTHORIZATION MUST BE OBTAINED FOR EVERY USER OF THIS FILE, ITS MODIFIED FORMAT OR COPY THEREOF, AND SEPARATE PROOF OF PURCHASE OF THE TEXT MUST BE PROVIDED.

Please read the following statement. By checking the box, you have made the following agreement:
 
*   I verify that the above answers and verifications are complete, true and correct and that by submitting this request and receiving the requested electronic file, I am agreeing to abide by these terms.
 
* Requestor’s Full Name:
   Title (if any):
* Requestor’s E-mail:
   Comments:
 

Review the Pearson Privacy Policy here.

If you would like to review or change your personal information, or have your name removed please contact permissions.pubcanada@pearsoned.com