Software Agreement Request Form

Complete this form to request a Participation Agreement for your Utah district or school to complete. This agreement is for School/District participation, not individual classrooms. Agreements will be sent for electronic signature by UEN.

• One request per LEA

• Wait for UEN to send an agreement to the authorized LEA administrator.

• Complete the agreement and return it to UEN.

Person Completing This Form:

• Institution:
  
• First Name:
• Last Name:
• Position:
  
• Email Address:
  (Valid Utah Education Email)
• Retype Email Address:
• Phone Number:
  
• Software:
  ---Select--- 3Play Media Annoto Anthology Ally Atomic Jolt Cidi Labs Copyleaks Derivita EVERFI Examity Feedback Fruits Get Inclusive Kaltura Online Learning Consortium Portfolium Proctorio Readspeaker Respondus Turn it In Unicheck Vector Solutions Verbit

Verification Code: