NEA ESP Publication Request Form

The NEA ESPQ Department offers a variety of publications designed to support and elevate the careers of Education Support Professionals in all career categories. ESP publications are designed to support ESP professional growth, and to help bring recognition to ESP careers and the impact they have on the education of the whole student. All publication requests will be processed within 3-5 business days of submission. Shipments will be sent via UPS Ground shipping. Affiliates in need of expedited shipping should contact Shawn Scott, ShScott@nea.org, after submitting this request form. Visit www.nea.org/esppublications for the list of currently available publications.

Originator of Request

First Name

Last Name

Office Number

Secondary Number (Cell)

Shipping Information

Please provide your complete shipping address (NO P.O. BOXES).

Street Address

Street Address Line 2

City

State/Province

Postal/Zip Code

Event Details

Please describe the event/campaign/training for which the publications are being requested. Include the event name, audience, and goal(s)/purpose of the event.

Is this the first event of its kind for your affiliate?

Yes

How will this event/campaign/training and the distribution of these publication materials help to strengthen your affiliate's capacity?

Which NEA strategic goal does this event/campaign/training align with? (Choose all that apply.)

Anticipated # of members impacted by this event.

Anticipated # of non-members impacted by this event.

Date of Event

Date Materials Needed

ESP Publication(s) Requested. (Check all that apply.)

Identify which career families will receive the requested publications. (Check all that apply)

Identify which level(s) of education ESP are working in who will receive these publications. (Check all that apply.)

Are you looking for additional materials not provided as options above?

Yes

NOTE: Submission of this form does not guarantee fulfillment of request. Requests are filled on a first-come, first-served basis, as quantities allow. Confirmation of your request will be sent to the contact email address above. An NEA ESP Quality Department staff person will be in touch with you to confirm fulfillment within 3-5 business days of submission.

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