2D Faces Request Form

First name:
Middle name:
Last name:
Degree:

Degree: Ph.D. M.D. D.O Other
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Specialty:
Office Address: Office Address:
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Organizational Affiliation:
Daytime Telephone Number (e.g., 5553218745):
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I certify that I will only conduct research utilizing University of Pennsylvania materials under the guidance and with the support of an Institutional Review Board or similar institution with specific protection for the rights of human subjects.
I certify that this request is being made by a qualified investigator, affiliated with a certified research institution.
I understand that no support will be provided for materials that are downloaded from this web site or provided in response to this request.
Accept conditions outlined.

Accept conditions outlined. Accept Decline
Please identify which file(s) you wish to use:

Please identify which file(s) you wish to use: Faces for Macintosh Faces for Windows
Please provide a brief statement of research hypothesis or purpose (2-3 sentences)
What population(s) will be studied and approximately how many participants will you have in each group?
In what stage is your research project (e.g., design stage, pilot, thesis, funded project)?
Please list any collaborators, and their institutions, on this project
How did you learn about the 2D facial stimuli?
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What is the sum of 2 and 3 ?