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Permissions Form

To request permission (after reading the rules!) to use all or part of Jan's Illustrated Computer Literacy 101, fill out and submit the form below.

My Reply:
You should get a response from me in a day or so. If you don't hear back, there may be a problem, such as:

If you have a problem, email me directly, instead of submitting the form again.  Include a second email address from a different service if at all possible.

If you do not yet have an email address, you can sign up easily for a free email account with services like Gmail.com, HotMail.com, and Yahoo.com.

Server Errors:
If you get an error message, please email me directly and include the text of the error message. You do not need to submit the form again right away. The results may be correctly stored in my database.

If you see a password dialog, then the server is hallucinating. Please email me directly, otherwise I will not know that there is a problem!

Permission Request

Required fields are marked with *.





*Teacher/Contact Person -


     *Email address:               

     *Confirm Email address: 
                  Be SURE your email address is correct! Otherwise you will not receive my reply!!

I/We request permission to use: 

        all of Jan's Illustrated Computer Literacy 101 

        the following part(s) of Jan's Illustrated Computer Literacy 101 -    

Why I/we want to use this material (You may be complimentary here if you wish!) :

I/We will also be using the following materials in the course:

I/We will use the material in the following course:

*Course title: 

*Duration of course:

*Total number of students in course(s): 
        Please add up the actual or expected numbers for all classes

*Age/grade of students: 

*Previous experience of students (as a group): 

You may write in the text area below anything else you want to say or ask, perhaps about how you came to choose my materials or what you plan to do with them [or how great and wonderful you think they are! smiley face ].

I/We understand that after using Jan's Illustrated Computer Literacy 101 materials, I/we are to submit an evaluation of how well the materials suited the course and the experience level of the students.

Before you click: If your email account blocks incoming mail from unknown addresses, please add me to your approved list before clicking the Submit form button - jegs1@jegsworks.com


Home > Jan's CompLit 101 > Permissions Form