Request for Information

Please complete the following form as accurately as possible so we can better address your interests and needs.

This form is intended for new faculty members whose departments, programs, and/or institutions are not currently using LiveText Solutions.

If you are a student or faculty member with an existing LiveText account and need assistance, please visit our Support area.

Note: Titles in Bold indicates required field

Prefix

First Name

M.I.

Last Name

Suffix

Title
Institution or Company Name

Daytime Phone Number

- -

Are you interested in receiving a demonstration of LiveText Solutions?

Yes No

How did you hear about LiveText?

How were you thinking of using LiveText's services?

Other Comments

Interest Areas (please check all that apply):
Accreditation Management	Assurance of Student Learning
Institutional Assessment Planning	e-Portfolios	Surveys
Program Assessment Planning	Course-Embedded Assessments	Indirect Assessments
Accreditation Documentation & Maintenance	Standards/Outcomes Management	Faculty Tenure Portfolios
Curriculum Mapping	Formative & Summative Evaluations	Community Events
Reports & Data Management	Other