POWER SOURCE Free Copies Order Form

About the Project - About POWER SOURCE - The Power Source Facilitator's Manual
How to order Power Source - About the Lionheart Foundation - Lionheart HOME
About the author, Robin Casarjian - About the author, Bethany Casarjian
What is Emotional Literacy? - Please Join Us
Visit The National Emotional Literacy Project for Prisoners

Guidelines for F R E E Copies of Power Source

Lionheart is making an initial offering of free copies of POWER SOURCE to:
•	front-line professionals working in a counseling capacity within programs serving highly at-risk adolescents.
•	(general or departmental) libraries in institutions or programs primarily serving highly at-risk youth.
	If you do not meet these criteria, please do not request free resources.

If you fit the criteria for free resources, you are welcome to request a professional courtesy copy and your institution may receive free copies of POWER SOURCE for library circulation (retail value $15 each). The number of books Lionheart donates depends on the number of at-risk youth being served by your institution/program.

Power Source and the Power Source Facilitator's Manual are also available for purchase. (see How to order Power Source)

SECURE ONLINE ORDER FORM

	please send a free professional courtesy copy of POWER SOURCE
	please send free copies of POWER SOURCE for library circulation

Name:

Title / Position:

Phone:

Ext.:

Home

Work

Email:

Name of Administrating Organization:

Organization Administration:

Other (please specify):

Name of Facility / Institution:

Name of Department and/or Program:

Institution Type:

	Juvenile Detention
	Residential School
	Non-Residential School
	Private
	Public
	Group Home
	Program in Adult Facility
	Community Program
	Other (Please Specify)

Street Address:

City:

State:

Zip Code:

Population:

	Male #
	Female #
	Total #
	Ages

Please tell us how you heard about Power Source

	Colleague or organization
	I was contacted by the Lionheart Foundation (Power Source outreach)
	Web search
	I have seen or read Power Source previously
	Other (please specify)

Comments and
Please tell us about your program and the population you serve.

If after reviewing POWER SOURCE you would like to use this resource in facilitating a group, please note that Lionheart will donate up to 10 copies of POWER SOURCE for the participating youth, IF FUNDING IS NOT AVAILABLE to purchase them. Unfortunately, because Lionheart's resources are limited, additional or replacement copies will have to be purchased.