Research Permissions Request Form

Information About You

Please enter your name, mailing address, phone/fax number and email address. Extra address lines should be left blank.

Address Line 1:
Address Line 2:
ZIP Code:
Telephone Number:
Fax Number:
Email Address:

Information About the ETS Materials You Wish to Reproduce

Title of ETS Publication:
Copyright Date:
Page Number(s):
Specific list of test questions, tables and/or other material you wish to reproduce:

Information About Your Intended Use

For Professional Research: Yes No
For Student Use: Yes No
For Dissertation Research at (list educational facility, if applicable):
Title of Dissertation (if applicable):
Specify your intended use of our materials:


Completed form will be submitted to:

Educational Testing Service
Office of the General Counsel
Attn: Copyright Administrator
Rosedale Road
Mail Stop 42-L
Princeton, NJ 08541, USA
Fax: 1-609-683-2930