Springwell Study Skills School Agreement

Dear Principal,

The purpose of this form is to confirm your school's usage of the Springwell Online Study Skills program. Your students will receive access to the Online Study Skills program at no cost to them or your school. This program is provided and delivered by Springwell.

To receive the benefits of the Study Skills program, the following is required:

Enroll as a participant in the Online Study Skills program by completing this agreement.
Place a link for the Springwell Online Study Skills program on your school's web site.
Designate an appropriate Springwell liaison, or contact person, to coordinate program setup and distribution of information to students and their families.
Inform parents of the Online Study Skills program and how they can register their students for the program.

In return, Springwell agrees to provide assistance in setting up the link on your website and provide informational materials for parents to the designated Springwell liaison. Students whose parents complete the registration process will have access to the Online Study Skills program for six months at no charge.

Springwell will NOT provide parent or student information to any third-party entity.

The term of this agreement is the 2007-2008 academic year.

By authorizing and submitting the form below, your school is agreeing to provide the Springwell Study Skills program to your students.

* Denotes required information.

Welcome! Please signify your consent by clicking the box provided below and filling out the following form.

* By checking this box, I

certify that I am the Principal of

* (Principal's First Name)

* (Principal's Last Name)

and I will ensure that the aforementioned school abides by the requirements set forth

* (School Name)

in this agreement.

Contact Information:

* Contact First Name:

* Contact Last Name:

* Contact Email:

* School Address:

* City:

* State:

* Zip:

* Contact Phone:

i.e. (555) 555-5555

Contact Fax:

i.e. (555) 555-5555

Once you submit this form you will receive an email confirmation. Please note, email confirmations are sent Monday - Friday,
8:00AM - 5:00PM EST. Should you have any questions about your request, please email customercare@springwellprep.com or call
1-888-878-2636.

If you would prefer to fax this form, CLICK HERE for a PDF version. Fax completed form to (703) 836-8710.