LSCS-3 Class Application Form

Please complete this form if you are an instructor interested in establishing a class of students so that this e-textbook may be incorporated into your course(s). Once submitted, a member of our team will respond within 48 hours with additional instructions, including a unique password specific for your class to use when accessing the e-textbook.

Thank you so much for your time and interest in Laboratory Safety for Chemistry Students (Third Edition)!
1.Please provide your name.
2.Please provide the name of your institution.
3.Please provide an institutional email address associated with an ACS ID, which you'll be using to access the e-textbook.
(If you have not yet created an ACS ID, please do so first using this link.)
4.Please provide the name of the course you are instructing that will be associated with this cohort.
5.Please provide an estimated number of students who will be joining the cohort and accessing the e-textbook.
6.At the end of the semester, would you be willing to distribute a brief ACS survey to your students so we may learn about their experience with the e-textbook? Students who complete this survey will receive a $10.00 Amazon gift card.
7.At the end of the semester, would you be willing to complete a short survey about your experience with the e-textbook? As a token of gratitude, you will receive a $20.00 Amazon gift card upon completing this survey.