University Curriculum - Part 2 Form - Apraxia Kids

University Curriculum – Request Access for New Semester

Thank you for registering to use the free Apraxia Kids University Curriculum this semester! Please complete this brief form to confirm some key details so we can provide you with the information and access you need to get started with your students.

University Curriculum - Part 2 Form

University name:

Instructor Name

Instructor Email

What is the start date of the upcoming semester/quarter in which you are using this curriculum?

What is the end date of the upcoming semester/quarter in which you are using this curriculum?

Name and number of course in which you will be using this curriculum:

What is the number of students you will be using this curriculum with this semester?

Please read and initial the Apraxia Kids University Curriculum Usage Terms below.

Apraxia Kids University Curriculum Usage Terms:

I agree to not download or copy the recorded video lectures from the Apraxia Kids University Curriculum platform.

I agree to not share or distribute any information contained in the Apraxia Kids University Curriculum platform with anyone outside of my university (faculty or students enrolled in the program) without obtaining prior written permission from Apraxia Kids. If someone outside my university (off-campus clinical supervisor or other colleague) is interested in seeing or using the modules, they can request access at info@apraxia-kids.org.

I understand that this curriculum will only be available for one term. If I require additional time or want to use it in a future term, I will contact Apraxia Kids to request an extension or additional codes.

By signing and dating this form, I agree to the terms of this agreement.

If you are human, leave this field blank.

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