DocuLearn Access Request

DocuLearn Access Request
Your Name*
Your Email Address*
Your confirmation email will be sent to this address.
College/University*
Program Type*
Student & Faculty Information

Upload your class list OR enter student information individually
Class or Cohort Name*
DocuLearn Start Date*

MonthDayYear
Subscription Length*
Payment Information*

I would like to pay immediately - direct me to a payment page after I submit this formPlease send me an invoicePlease send these students instructions for purchasing DocuLearn individually*I will send my students the instructions to purchase individually*These students will be purchasing through the bookstoreI already have an invoice
* an additional $2 processing fee per student applies for students purchasing DocuLearn individually
When would you like students to receive DocuLearn purchase instructions?
Faculty Contact for this Class*

I am the contactSpecify a different contact:
Number of Students in this Class
DocuLearn Access*

These students are new to DocuLearnExtending existing student access
Student Information Spreadsheet (including .edu Email Address, First Name, and Last Name)*

Please let your students know this will be their email address to log in.
Cancelof
Class or Cohort Name
DocuLearn Start Date

MonthDayYear
Subscription Length
Faculty Contact for this Class

I am the contactSpecify a different contact:
Number of Students in this Class
DocuLearn Access

These students are new to DocuLearnExtending existing student access
Student Information Spreadsheet (including .edu Email Address, First Name, and Last Name)

Please let your students know this will be their email address to log in.
Cancelof
Class or Cohort Name
DocuLearn Start Date

MonthDayYear
Subscription Length
Faculty Contact for this Class

I am the contactSpecify a different contact:
Number of Students in this Class
DocuLearn Access

These students are new to DocuLearnExtending existing student access
Student Information Spreadsheet (including .edu Email Address, First Name, and Last Name)

Please let your students know this will be their email address to log in.
Cancelof
Class or Cohort Name
DocuLearn Start Date

MonthDayYear
Subscription Length
Faculty Contact for this Class

I am the contactSpecify a different contact:
Number of Students in this Class
DocuLearn Access

These students are new to DocuLearnExtending existing student access
Student Information Spreadsheet (including .edu Email Address, First Name, and Last Name)

Please let your students know this will be their email address to log in.
Cancelof
Faculty Access

Enter Faculty List ManuallyUpload Faculty List (Excel)
Student Information Spreadsheet (including .edu Email Address, First Name, and Last Name)

Please let your faculty know this will be their email address to log in.
Cancelof
Amendments to these lists can be made by contacting support@icelearningcenter.com.
Additional Comments or Questions (optional)
DocuLearn Terms*

I understand that any student not added to this list is not authorized to access DocuLearn.I understand that sharing access with an unauthorized person may result in permanent interruption to my DocuLearn access.I agree to the Terms of Use on the ICE Learning Center website: www.icelearningcenter.com/terms-of-use
Signature

Clear
Date

MonthDayYear
Date
Should be Empty:

DocuLearn Access Request

Student & Faculty Information