JBC Permission Form – CCEF Payments

Before You Begin
Please keep the following in mind before proceeding with this application:
1. Please do not use this application to request translation of articles. Full-length Journal of Biblical Counseling articles are rarely approved for translation, re-publishing, or re-posting publicly online as they are available on our website for sale and oftentimes are under contract as parts of other published books.
  
  If you are interested in translating content, we encourage you to submit an application for blog content via our Translation Permission Form.
Requestor Information
Name*
First Last
Organization*
Your Title
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone*
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Is Your Billing Information the Same?
- Yes
- No
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Billing Information
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Billing Name
First Last
Hidden
Billing Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Materials Requested
Please provide the following information about the Journal of Biblical Counseling article(s) you are requesting permission to distribute.
Article #1 Title*
Article #1 Author(s)*
Article #1 Copyright Year, Volume & Number*
Article #1 Number of Copies to Distribute*
Do You Need to Request Another Article?*
- No
- Yes
Article #2 Title*
Article #2 Author(s)*
Article #2 Copyright Year, Volume & Number*
Article #2 Number of Copies to Distribute*
Do You Need to Request a Third Article?*
- No
- Yes
Article #3 Title*
Article #3 Author(s)*
Article #3 Copyright Year, Volume & Number*
Article #3 Number of Copies to Distribute*
Audience Information
Please provide the following information about your audience within the appropriate category.
Audience Type*
Choose your specific type*
- Church
- Mission Field
- Bible Class
- Prison
- Professional Audience
- Other
Please specify your audience type*
Total Number of Recipients*
Article Use Dates*

List when you'll start to use the article(s) and when you'll stop
Choose your specific type*
- Graduate Research
- Ministry Research
Total Number of Recipients*
Article Use Dates*

List when you'll start to use the article(s) and when you'll stop
Choose your specific type*
- Graduate
- Undergraduate
- Certificate
- Other
Please Specify Other*
Course Title*

Include the title of the course in which the article(s) will be used.
Total Number of Recipients*
Article Use Dates*

List when you'll start to use the article(s) and when you'll stop
Distribution Format
Please provide the following information about how you intend to distribute the articles(s).

Please note that digital article(s) can only be distributed electronically.
Format*
- Digital
- Photocopy
If approved, digital distribution is strictly limited to either emailing the approved group size or posting on a secure, password-protected intranet site and will be available only to the intended audience for the period of time that the usage has been approved. General public posting is prohibited.
Specify digital distribution format

Please refer to Conditions of Use (#3) below regarding distribution requirements.
Conditions of Use
1. 1.) Completing and returning this form does not grant permission for you to use the materials(s). We will notify you in writing whether permission is granted and of any additional terms and conditions of use.
2. 2.) If CCEF grants permission to reprint articles from the JBC, you are authorized to reproduce only the number of copies specified in the notice of permission, which may be more or less than the number you requested.
3. 3.) If CCEF grants permission, your use of article(s) pursuant to that permission will be limited as follows:
  a.) Article(s) will be available to an agreed-upon audience size, through either a direct email to the agreed-upon audience size or a password-protected website or intranet site for up to two years. If requested, extensions can be negotiated. General public posting is prohibited.
4. 4.) If CCEF grants permission, you may use copies of articles pursuant to the permission only for the purposes specified herein and in accordance with any other limitations, terms or conditions that CCEF communicates to you. Any impermissible or unauthorized use is a violation of the permission and license to use the articles, and will result, exclusive of any other remedies available to CCEF, in immediate termination of your right to use JBC articles for any purpose.
5. 5.) Reprints and/or copies are to be in the English language only.
6. 6.) CCEF does not permit additions, deletions, or changes of any kind to be made to the article(s).
7. 7.) This permission does not grant you rights to license, publish, or distribute to a third party.
8. 8.) All rights not granted herein are retained by CCEF. Permission to use does not grant any rights of ownership in the JBC article(s).
9. 9.) If permission is granted, your use of article(s) signifies your acceptance of all terms and conditions herein and any other terms, conditions, or limitations of use communicated to you by CCEF.
Credit Line
You must include the following credit line with each distributed copy of the article(s):
This article is published in the Journal of Biblical Counseling, a publication of the Christian Counseling & Educational Foundation (CCEF). All content is protected by copyright and may not be reproduced in any manner without written permission from CCEF. For more information on classes, materials, speaking events, distance education, and other services, please visit www.ccef.org
Message (Include any other relevant information regarding your request)
Electronic Signature
By completing this form electronically, your typed name acts as an authenticated signature for the application and an acknowledgment that you have read and understand the Conditions of Use of the application.
Full Name*
Organization (if applicable)
Product Name
Total
$0.00
Credit Card*
Card Details
Cardholder Name
Phone
This field is for validation purposes and should be left unchanged.

Before You Begin

Requestor Information

Billing Information

Materials Requested

Audience Information

Distribution Format

Conditions of Use

Credit Line

Electronic Signature