Research Request Form

If you are interested in using The Leadership Challenge or The Leadership Practices Inventory for your research, please fill out the form below. This form will be sent via email. Please make sure to fill out ALL fields in the form below.

Please Note: Receiving permission does NOT include free copies of the LPI or Leadership Challenge packages, books, surveys, or instruments.

You may also print, fill out, and fax the Research Request Form PDF document to Pfeiffer Editorial at 415-433-1711.

Information About You

All Fields are Required
First Name:
Last Name:
Gender:
Street Address:
City:
State:
Zip Code:
Phone:
Fax:
Email:
Use the pulldown menu's to indicate your current professional/educational status and then complete the corresponding fields.

Choose all that apply.
Major/Position: Name of Institution/Company:
Major/Position: Name of Institution/Company:
Major/Position: Name of Institution/Company:
Major/Position: Name of Institution/Company:
Major/Position: Name of Institution/Company:

Information About The Study

Title of Study/Research:
Number of Participants:
Population Being Studied:
Institution Where Study is Occurring:
Scope of Project:
Anticipated Start Date:   (mm/dd/yyyy)
Anticipated Completion Date:   (mm/dd/yyyy)

Do you plan to use LPI product "Self" or "Observer" forms (purchased separately) for this research? :

I would like more information about the forms

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