1. Tell Us About You*

*APH values your privacy. Your personal information will be kept in the strictest confidence. APH will not sell or distribute this information.

Date Submitted:
Your Name (required):
Address:
City:
State: Postal Code:
Country:
Phone:
FAX:
Email (required):

2. Tell Us About Your Idea

Your product's name:

Briefly describe your product, its purpose, and how it will be used:

What identified need does your product address? Please be specific. Include indication of target group(s) for product.

Describe how the product promotes good educational principles. Please provide details of any experiments and testing you have done.

While high quality research is important to assure the product meets appropriate educational practices, we do not assume your product idea has been subjected to rigorous research at the time of submission. Please indicate any research you may be aware of by explaining the type of research (foundational, basic, applied) conducted, and including any appropriate references, citations, and/or copies of any testing, experiments, or other research that has been conducted.

If further research is needed, would you be interested in assisting? If not could you recommend someone?

List any potential markets you have identified for the product (target audiences).

Provide information about the cost to acquire the rights to produce or distribute the product.

Indicate how you envision the product will look.

List media you expect product will utilize (Braille, large print, CD, regular print, tactile graphics, etc.).

List suggested product components (guidebooks, instructions, binder, storage compartment, labels (CD, video, etc). Include information regarding accompanying support materials (ie teacher's guide).