SBC Permission Request – CCEF Payments

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Before You Begin

This form is to be used to request permission for use of School of Biblical Counseling specific diagrams, Journal of Biblical Counseling articles or Assignments.

Copies of these diagrams, articles and assignments are not included as part of the permissions process and individuals must have access to them before submitting a permissions request.

Duplication or redistribution of School of Biblical Counseling videos and workbooks is strictly prohibited.

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

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Billing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Materials Requested

Please provide the following information about the content you are requesting permission to distribute.

Please note, duplication or redistribution of School of Biblical Counseling videos and workbooks is strictly prohibited.

Type of material*

SBC Diagram
SBC Journal Article
SBC Assignment or Case Study

Diagram

Name of Diagram

What SBC course was the diagram used in?*

Number of Copies You Want to Distribute*

Method of Distribution*

Digital
Photocopy

Specify digital method*

Indicate how you plan to distribute the materials (ex: via email, posting on a website, etc.)

Journal of Biblical Counseling Article

Name of Article*

Author of Article*

What SBC course was the article used in?*

Number of Copies to Distribute*

Method of Distribution*

Digital
Photocopy

Specify digital method*

Indicate how you plan to distribute the materials (ex: via email, posting on a website, etc.)

Assignment or Case Study

Name of Assignment or Case Study*

What SBC course is this from?*

Number of copies to distribute?*

Method of Distribution*

Digital
Photocopy

Specify digital method*

Indicate how you plan to distribute the materials (ex: via email, posting on a website, etc.)

Audience Information

Please provide the following information about your audience within the appropriate category.

Audience Type*

Choose your specific type*

Please specify your audience type*

Total Number of Recipients*

Resource Use Dates*

List when you’ll start to use resource and when you’ll stop

Choose your specific type*

Graduate Research
Ministry Research

Total Number of Receipients*

Resource Use Dates*

List when you’ll start to use resource 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 resource will be distributed.

Total Number of Receipients*

Resource Use Dates*

List when you’ll start to use resource and when you’ll stop

Conditions of Use

1.) Completing and returning this form does not grant permission for you to use the resource(s). We will notify you in writing whether permission is granted and of any additional terms and conditions of use.

2.) If CCEF grants permission, you may use copies 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 will result, exclusive of any other remedies available to CCEF, in immediate termination of your right to use School of Biblical Counseling material for any purpose.

3.) If CCEF grants permission to print articles, assignments, or diagrams, 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.

4.) Reprints and/or copies are to be in the English language only.

5.) CCEF does not permit additions, deletions, or changes of any kind to be made to any School of Biblical Counseling material.

6.) This permission does not grant you rights to license, publish, or distribute to a third party.

7.) All rights not granted herein are retained by CCEF. Permission to use does not grant any rights of ownership.

8.) If permission is granted, your use of material(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 School of Biblical Counseling material copies:

This _________ (article, diagram, assignment, etc.) is 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)