Curriculum Licensing Inquiry

Are you the decision-maker for this project? *

Yes

No

If you answered "no" to the previous question, what is the name, email, and title of the decision maker in your organization?

Full Name *

Email *

Phone *

Organization *

Website *

Type of organization *

How will you deliver your CHW training? *

Where will you teach? (Intended Class Location, City, State) *

How do you intend to use the curriculum? *

Which licensing package are you interested in?

Curriculum Licensing Only ($)

Curriculum Licensing + Basic White-Labeling ($$)

Curriculum Licensing + Custom White-Labeling ($$$)

How soon are you ready to license our curriculum? *

Next 30 days

3-6 months

6-12 months

Not sure...need more information

How did you hear about our services? *

I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from the business.