Human Kinetics - Online Education Center

Request Full Course Review

Please fill out the form below and click the "Send Request" button. You'll be notified by email within about a week whether your review request has been approved. If your request is approved you'll receive a password, which will allow you to access the complete course.

Please note that Human Kinetics reserves the right to deny review access or to revoke access at any time.

Fields in red are required.

1) I am requesting the following items for review:

Course Title:

I would like to review the course for: Month(s)

2) Customer Information:

First Name:

Middle Name:

Last Name:

Title:

Customer Number:

Have you ordered from us in the past 2 years? Yes No

Department:

School or company:

Address 1:

Address 2:

City:

Country:

State:

Postal Code:

Telephone:

Extension:

Fax:

Email Address:

3) Academic Course Information:

Academic Course Number:

Academic Course Title:

Enrollment:

Select a Term:

Number of Students:

Resources now in use:

4) Additional comments: